Search › California › 363LF0000X
Jenny Phan
NPI 1871013383 · on the registry since 2017 · sole proprietor
Practice
- Address
- 510 17th St
Oakland, CA 94612 - Phone
- (510) 433-1150
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-15
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