JENNIFER PHAN
Physician Assistant

Address: 10809 Palms Blvd Apt A, Los Angeles, CA 90034-5584

JENNIFER PHAN (NPI# 1891386256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891386256
Entity Type Individual
Full Name JENNIFER PHAN
Gender Female
Practice Address 10809 Palms Blvd Apt A
Los Angeles
CA 90034-5584
Practice Telephone 5626863950
Mailing Address 10809 Palms Blvd Apt A
Los Angeles
CA 90034-5584
Certification Date 2021-01-28
Enumeration Date 2021-01-28
Last Update Date 2021-01-28
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1396385654 Jennifer Phan 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 2020-01-14
1609372150 Jennifer Phan 1452 Reed Ave, San Diego, CA 92109-5351 2018-04-03
1114333697 Jennifer Phan 6848 Landing Dr, Grand Prairie, TX 75054-6810 2014-07-07
1861621880 Jennifer Phan 3113 N Broadway Street, Anderson, IN 46012-1261 2009-07-12
1376003509 Jennifer Phan 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 2019-03-22
1780002055 Jennifer Phan 200 Medical Plaza Ste 214, Los Angeles, CA 90095-1804 2014-04-02
1205265956 Jennifer Phan 6325 Rosemead Blvd, San Gabriel, CA 91775-1933 2013-11-04

Office Location

Street Address 10809 PALMS BLVD APT A
City LOS ANGELES
State CA
Zip Code 90034-5584

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1518582014 Pdi Health Ca LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 2020-06-10
1154888063 Lanmc Corporation Community/Behavioral Health 1920 S. Robertson Blvd., Los Angeles, CA 90034 2019-02-27
1841799400 Benjamin Kerneves Physical Therapist 3637 Clarington Ave, Los Angeles, CA 90034 2018-02-08
1497274799 Nancy Mcdonald Counselor 9854 National Blvd., #493, Los Angeles, CA 90034 2017-09-18
1063931608 Alexa Rohach Physical Therapist 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 2017-09-14
1225551807 Bts Outpatient LLC Counselor · Addiction (Substance Use Disorder) 8847 Venice Blvd, Los Angeles, CA 90034 2017-07-25
1316467400 Clarissa Green Rehabilitation Counselor Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 2017-06-21
1245789940 Genesis Psychology Group, Inc. Psychologist · Cognitive & Behavioral 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 2016-09-23
1245787712 Mahsa Harati Dentist 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 2016-09-01
1134675440 Noelle Antoinette Avellino Social Worker · Clinical 3384 Motor Ave., Los Angeles, CA 90034 2016-08-28
Find all providers in zip 90034

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629668546 Melanie Murray 138 N Beaudry Ave Unit 539, Los Angeles, CA 90012-3376 2021-01-25
1235729344 Ashley Danielle Shewmake 8635 W 3rd St Ste 350w, Los Angeles, CA 90048-6112 2021-01-22
1740870211 David Dominguez 3960 Arlington Ave, Los Angeles, CA 90008-2710 2021-01-19
1184213647 Vicki Luong 767 N Hill St Ste 200a, Los Angeles, CA 90012-2365 2021-01-11
1164010807 Rebecca David 2932 Nicada Dr, Los Angeles, CA 90077-2026 2021-01-07
1841886975 Daniela Massachi 2759 Aqua Verde Cir, Los Angeles, CA 90077-1502 2020-12-13
1154929644 Tatum Little 3307 W 79th St, Los Angeles, CA 90043-5249 2020-10-15
1144828963 Chan Ho Park 4721 Oakwood Ave, Los Angeles, CA 90004-3112 2020-10-14
1235737172 Jennifer Rae Levitt Physician Assistant, Inc 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 2020-10-13
1174120943 Melody Fatehi 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 2020-10-05
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.