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

MISS ELLYN M PHAN, M.D.

Active Sole Proprietor

MISS ELLYN M PHAN, M.D. is a Internal Medicine healthcare provider located in LAKEWOOD, California. NPI 1972035350 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LAKEWOOD, CA

Registration Details

NPI Number
1972035350
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2017 (9.3796163990541 yrs)
Last Updated
Jun 7, 2024
License
A169745 (CA)
Sole Proprietor
Yes

Practice Information

Address
4447 CANDLEWOOD ST
LAKEWOOD, CA, 907121736
Browse CA providers · Browse ZIP 90712
Phone
6572419935
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in LAKEWOOD, CA

Name Credential NPI
DR. PRASAD K. CHODE MD 1194720847
DAISY J. GUEVARA MD 1396740932
AUGUSTUS K. OHEMENG MD 1982603890
DR. MICHAEL FREUND M.D. 1447244157
MS. SU HYON YI M.D. 1902867476
JESSE JOSEPH LICUANAN M.D. 1396795514
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.