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

Dr. Kathy Phan, OD

Individual provider Optometrist · NPI 1598040495

Dr. Kathy Phan, OD is an Optometry in Beverly Hills, California. Graduated from Southern College of Optometry in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
Southern College of Optometry
Licensed in
CA
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

239 S La Cienega Blvd Ste 100
Beverly Hills, CA 90211-3328
Phone: (888) 563-9888
Fax: (424) 288-4893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14191TLG (CA)

Record details

NPI number1598040495
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 12, 2011
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address239 S La Cienega Blvd, Suite 100, Beverly Hills, CA 90211-3328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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