Individual
ALEXANDER PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(800) 872-2273
Mailing address
5532 CASTANA AVE, LAKEWOOD, CA 90712-1625
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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