Jenny Phan Valid NPI
Individual provider · Family Medicine Physician · Moreno Valley, CA
- NPI
- 1982015210
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 20A13101 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-05-08
- Last updated
- 2021-12-03
Practice location
26520 Cactus Ave, Family Medicine Department
Moreno Valley, CA 92555-3927
(951) 486-5593