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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679223200

Phong Phan, DO is a Student in an Organized Health Care Education/Training Program in Riverside, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 786-5350
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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

Record details

NPI number1679223200
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2022
Last updated in NPPESMarch 26, 2022
Certification dateMarch 26, 2022
Mailing address4445 Magnolia Ave, Riverside, CA 92501-4135

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