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Search › California › 207R00000X

Mindy Phan, DO

NPI 1043907074 · on the registry since 2023

Practice

Address
26520 Cactus Ave
Moreno Valley, CA 92555
Phone
(951) 486-5909
Fax
(951) 486-5910
Organisation at this address
Taqi'S Inc.
County Of Riverside
County Of Riverside
County Of Riverisde
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
687

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California