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

Amanda Quynh Phan

Individual provider Pediatrics Physician · NPI 1629773288

Amanda Quynh Phan is a Pediatrics Physician in Loma Linda, California. Licensed in California and Guam. Registered with an NPI since 2023.

Licensed in
CA, GU
In the registry since
2023
Specialties on file
2

Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-4174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A24933 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence TLL-2026-004 (GU)

Record details

NPI number1629773288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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