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

Miss. Ellyn M Phan, MD

Individual provider Internal Medicine Physician · NPI 1972035350

Miss. Ellyn M Phan, MD is an Internal Medicine in Lakewood, California. Qualified in 2017, 9 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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

4447 Candlewood St
Lakewood, CA 90712-1736
Phone: (657) 241-9935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A169745 (CA)

Record details

NPI number1972035350
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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