Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Julie Phan OD Inc

Organization Optometrist · NPI 1013452234

Dr Julie Phan OD Inc is an Optometrist in San Bernardino, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1055 Harriman Pl
San Bernardino, CA 92408-4203
Phone: (909) 799-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14612TLG (CA)

Record details

NPI number1013452234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Phan — Optometrist · (909) 799-3130
NPI enumeratedDecember 23, 2016
Last updated in NPPESDecember 23, 2016
Mailing address13250 Don Julian Rd, La Puente, CA 91746-2239

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