Search › California › 103K00000X
Tina Phan
NPI 1962242743 · on the registry since 2024
Practice
- Address
- 577 Salmar Ave
Campbell, CA 95008 - Phone
- (669) 242-5090
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-12
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