KATHY PHAN

TUSTIN, CA
NPI1265077556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA58387)
Enumeration Date2019-11-11
Last Update Date2026-08-18
Business Address
KATHY PHAN
1451 IRVINE BLVD
TUSTIN, CA 92780-3804
Phone number: 714-838-8878
Mailing Address
KATHY PHAN
6591 LA PAT CT APT A
WESTMINSTER, CA 92683-3647
Phone number: