Individual
JAMIE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4580 ELECTRONICS PL, LOS ANGELES, CA 90039-1008
(818) 531-8805
Mailing address
1804 N LIMA ST, BURBANK, CA 91505-1526
(818) 531-8805
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001466
CA
Other
Enumeration date
08/31/2021
Last updated
11/16/2021
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