Michael Long Phan
Student in an Organized Health Care Education/Training Program in Murrieta, CA. Individual provider (NPI-1).
NPI number1093561003
StatusActive
Last updated in NPPESMay 10, 2026
Details
- NPI
- 1093561003
- Entity type
- Individual (NPI-1)
- Name
- Michael Long Phan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2024
- Certification date
- May 10, 2026
- Last updated
- May 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
Practice location
28062 Baxter RdMurrieta, CA 92563-1401
Phone 951-290-4190
Mailing address
28062 Baxter RdMurrieta, CA 92563-1401
Phone 951-290-4190
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All 79 Student in an Organized Health Care Education/Training Program providers in Murrieta · All 3,959 providers in Murrieta
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