Ellyn Phan, M.D

NPI 1972035350 · on the registry since 2017 · sole proprietor

Practice

Address: 19582 Beach Blvd Ste 250
Huntington Beach, CA 92648
Phone: (714) 477-8020
Fax: (714) 477-8022
Organisation at this address: Dpt Holdings, Llc
Karen H. Fu, Md Inc
Pundari C Ganti M D Inc
Le Pharmacy Corporation
Rita R. Archer, M.D., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 74

Additional practice sites

4447 Candlewood St, Lakewood, CA

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-10-23

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