Individual
MRS. DARLENE MY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 CLEARWATER CREEK DR, NEWBURY PARK, CA 91320-4976
(805) 405-8060
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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