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

Dr. Douglas H. Phan, MD

Individual provider Psychiatry Physician · NPI 1366671992

Dr. Douglas H. Phan, MD is a Psychiatry Physician in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

769 W Blaine St Ste B
Riverside, CA 92507-3970
Phone: (951) 358-4705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A114481 (CA)

Record details

NPI number1366671992
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESOctober 20, 2016
Mailing address769 W Blaine St, Suite B, Riverside, CA 92507-3970

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