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Ivy Phan
NPI 1962209288 · on the registry since 2025 · sole proprietor
Practice
- Address
- 18730 Cordata St
Fountain Valley, CA 92708 - Phone
- (714) 726-5668
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2025-02-25
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