Search › California › Physician Assistant
Theodore Phan
NPI 1104546969 · on the registry since 2022 · sole proprietor
Practice
- Address
- 52 Trinity Dr
Novato, CA 94947 - Phone
- (415) 320-2313
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-05
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