Robert Phan, PA-C

NPI 1467266536 · on the registry since 2025 · sole proprietor

Practice

Address: 4251 Long Beach Blvd Ste 102
Long Beach, CA 90807
Phone: (210) 761-7617
Organisation at this address: Mary Pham Ikeda Dds Ms Inc
Waltzman Plastic And Reconstructive Surgery
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-09

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