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Search › California › 363A00000X

Mary Phan

NPI 1396610341 · on the registry since 2025

Practice

Address
17100 Norwalk Blvd Ste 101
Cerritos, CA 90703
Phone
(562) 232-9420
Organisation at this address
Brian Fong Od Inc
Dipti Doshi Md, Inc.
Medshop Pharmacy, Inc.
Serenity Hospice Group Inc
Fountain Of Youth Cosmetic Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 9801 Belvedere Rd, Royal Palm Beach, FL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-08

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