LISE PHAN

ARCADIA, CA
NPI1487031100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CO  DR.0064212)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: MT  MED-PHYS-LIC-85782)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA  A147823)
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: CA  A147823)
Enumeration Date2015-05-01
Last Update Date2025-01-09
Business Address
LISE PHAN MD
1015 N 1ST AVE SUITE B
ARCADIA, CA 91006
Phone number: 626-598-3770
Mailing Address
LISE PHAN MD
1015 N 1ST AVE SUITE B
ARCADIA, CA 91006
Phone number: 626-598-3770