Kevin Phan

NPI #1932740610 in Norwalk, California

Provider Information

NPI Number: 1932740610
Entity Type: Individual
Name: Kevin Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 3, 2019
Last Updated: Oct 3, 2019

Practice Location

Address: 12440 FIRESTONE BLVD STE 3020
City: Norwalk
State: California
ZIP Code: 90650-9328
Phone: (562) 864-7821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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