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Search › California › 207RC0000X

Derek Phan, MD

NPI 1598184244 · on the registry since 2014 · sole proprietor

Practice

Address
21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone
(951) 493-6650
Organisation at this address
El Mirador Medical Plaza Pharmacy Inc
El Mirador Medical Plaza Pharmacy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 4733 W Sunset Blvd, Los Angeles, CA
  • 800 S Main St, Corona, CA
  • 1818 N Meade St, Appleton, WI

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207R00000X
207RC0000X
207RC0000X
207RI0011X
207RI0011X
207RI0011X
207RI0011X
Licence states on file
WA, KS, CA, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-31

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