Jason Phan, FNP
Nurse Practitioner, Family in Yorba Linda, CA. Individual provider (NPI-1).
NPI number1093229338
StatusActive
Last updated in NPPESNov 23, 2017
Details
- NPI
- 1093229338
- Entity type
- Individual (NPI-1)
- Name
- Jason Phan
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2017
- Last updated
- Nov 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95005714 | CA | Yes |
Practice location
22224 La Palma Ave Ste AYorba Linda, CA 92887-3819
Phone 714-692-7139
Mailing address
22224 La Palma Ave Ste AYorba Linda, CA 92887-3819
Phone 714-692-7139
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All 35 Family Nurse Practitioner providers in Yorba Linda · All 1,011 providers in Yorba Linda
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