Search › California › 183500000X
Kathleen Phan
NPI 1497317150 · on the registry since 2019
Practice
- Address
- 844 Blossom Hill Rd
San Jose, CA 95123 - Phone
- (408) 972-2862
- Organisation at this address
- Lucky Stores Ii Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-02
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