Individual
JUSTIN R PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 450-0158
Mailing address
1107 FAIR OAKS AVE, # 465, SOUTH PASADENA, CA 91030-3311
(626) 304-9060
(626) 304-9010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A86090
CA
Other
Enumeration date
08/19/2006
Last updated
02/27/2020
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