Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNY PHAN
Active Sole ProprietorJOHNNY PHAN is a Specialist/Technologist, Surgical healthcare provider located in SAN DIEGO, California. NPI 1114880705 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · SAN DIEGO, CA
Registration Details
- NPI Number
- 1114880705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2025 (0.71466012868138 yrs)
- Last Updated
- Dec 9, 2025
- License
-
4491866 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10970 POLARIS DRSAN DIEGO, CA, 921262459Browse CA providers · Browse ZIP 92126
- Phone
- 8587752261
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JO ANN L GARCIA | OT-C | 1881819282 |
| KIMBERLY K HUSTON | ORTHO TECH | 1861609760 |
| FRANCISCA ESTHER CERDA | — | 1497938724 |
| SARA MAE PETERSON | MT(ASCP) | 1417204389 |
| ANGELICA GUZMAN | — | 1790185882 |
| PATRICK LANGIT | ATC | 1013374875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.