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

Marissa Phan

Individual provider Pharmacist · NPI 1902227481

Marissa Phan is a Pharmacist in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

15555 E 14th St #400
San Leandro, CA 94578
Phone: (510) 276-2699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 66269 (CA)

Record details

NPI number1902227481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 30, 2013
Last updated in NPPESDecember 30, 2013
Mailing address4809 Cornflower Street, San Ramon, CA 94582

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