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

Minh Anh Phan, STUDENT

Individual provider Pediatrics Physician · NPI 1669050266

Minh Anh Phan, STUDENT is a Pediatrics Physician in Loma Linda, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

11234 Anderson St Gme Ofc Westerly Ste C
Loma Linda, CA 92354-2804
Phone: (909) 558-4174
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 22617 (CA)

Record details

NPI number1669050266
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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