JOHNNY PHAN

SAN DIEGO, CA
NPI1114880705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246Z00000X Specialist/Technologist, Other
(Licence: CA  4491866)
Enumeration Date2025-12-09
Last Update Date2025-12-09
Business Address
JOHNNY PHAN
10970 POLARIS DR
SAN DIEGO, CA 92126-2459
Phone number: 858-775-2261
Mailing Address
JOHNNY PHAN
10970 POLARIS DR
SAN DIEGO, CA 92126-2459
Phone number: 858-775-2261
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