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

Michael Long Phan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093561003

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

Licensed in
CA
In the registry since
2024

Practice location Address checks out

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone: (951) 290-4190
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 (CA)

Record details

NPI number1093561003
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESMay 10, 2026
Certification dateMay 10, 2026
Mailing address28062 Baxter Rd, Murrieta, CA 92563-1401

Other providers in Murrieta