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CALLANDRA PHAN DMD
NPI 1043199201
Student in an Organized Health Care Education/Training Program in La Puente, CA

Active since August 30, 2025
533 GIANO AVE, LA PUENTE, CA 91744(626) 678-5186 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Callandra Phan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLANDRA PHAN DMD (NPI 1043199201) is an individual student in an organized health care education/training program in La Puente, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1043199201
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCALLANDRA PHANCredential: DMD
Location Address533 GIANO AVELa Puente, CA 91744-5816
Mailing Address533 Giano AveLa Puente, CA 91744-5816 · (626) 678-5186
Phone(626) 678-5186
Sole ProprietorNo
Enumeration DateAugust 30, 2025
NPPES CertifiedAugust 30, 2025
✔ NPI 1043199201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
533 GIANO AVE, La Puente, CA 91744
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Callandra Phan's NPI number?

The NPI number for Callandra Phan is 1043199201. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Where is Callandra Phan located?

Callandra Phan practices at 533 Giano Ave, La Puente, CA 91744. The listed phone number is (626) 678-5186.

What is Callandra Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Callandra Phan was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.