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

Diep Phan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548741176

Diep Phan is a Student in an Organized Health Care Education/Training Program in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

7720 Lorraine Ave Ste 102
Stockton, CA 95210-4203
Phone: (209) 957-8787
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 41006 (CA)

Record details

NPI number1548741176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 22, 2018

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