Search › California › Other Specialist/Technologist
Johnny Phan
NPI 1114880705 · on the registry since 2025 · sole proprietor
Practice
- Address
- 10970 Polaris Dr
San Diego, CA 92126 - Phone
- (858) 775-2261
Registry record
- Primary taxonomy
- Other Specialist/Technologist
246Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-09
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