Individual
EUNICE JILL CANONIZADO PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, FNP-C
Contact information
Practice address
661 W 1ST ST STE G, TUSTIN, CA 92780-2939
(714) 665-9890
(714) 665-9891
Mailing address
1818 S STATE COLLEGE BLVD UNIT 248, ANAHEIM, CA 92806-8908
(619) 208-6882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95018278
CA
Other
Enumeration date
10/17/2021
Last updated
10/22/2025
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