SearchCalifornia235Z00000X

Fuey Phan

NPI 1689582124 · on the registry since 2026

Practice

Address
4620 Vallecito St
Shasta Lake, CA 96019
Phone
(530) 275-7020
Fax
(530) 275-7025
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-27

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