Individual
CHRISTOPHER PETER PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 S FREMONT AVE UNIT 7, ALHAMBRA, CA 91803-8897
(626) 457-4240
Mailing address
1000 S FREMONT AVE UNIT 7, ALHAMBRA, CA 91803-8897
(626) 457-4240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
363A00000X
Physician Assistant
Primary
68447
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2022
Last updated
05/29/2026
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