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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BAO PHAN, ATC

Active

BAO PHAN, ATC is a Athletic Trainer healthcare provider located in SAN DIEGO, California. NPI 1477248789 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SAN DIEGO, CA

Registration Details

NPI Number
1477248789
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2023 (3.1592382017374 yrs)
Last Updated
Dec 28, 2023

Practice Information

Address
2335 CHATSWORTH BLVD
SAN DIEGO, CA, 921061646
Browse CA providers · Browse ZIP 92106
Phone
2026034768
Fax
2026034768
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in SAN DIEGO, CA

Name Credential NPI
MRS. CHRISTINE MARIE AHLF M.A., A.T.C. 1962484436
MS. CAMERON LYNN WASHBURN ATC 1659359701
MR. JAMES COLLINS JR. ATC 1720052780
MR. DAMON L. MITCHELL ATC 1659345551
CAROLYN RAE PETERS MA, ATC, CSCS 1033184064
MR. ERNESTO VEGA JR. ERNESTO VEGA 1700848546
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.