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DIEP PHAN
NPI 1548741176
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since August 22, 2018
7720 LORRAINE AVE STE 102, STOCKTON, CA 95210(209) 957-8787 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Diep Phan NPPES

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

DIEP PHAN (NPI 1548741176) is an individual student in an organized health care education/training program in Stockton, California, licensed in California (41006) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1548741176
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIEP PHAN
Location Address7720 LORRAINE AVE STE 102Stockton, CA 95210-4203
Mailing Address9485 Heinlein CtSacramento, CA 95829-6094
Phone(209) 957-8787
Sole ProprietorYes
Enumeration DateAugust 22, 2018
✔ NPI 1548741176 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
License✔ Licensed in CA · 41006
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.
7720 LORRAINE AVE STE 102, Stockton, CA 95210
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EGOR MIKHAYLOVSKIY
Student in an Organized Health Care Education/Training Program
7720 LORRAINE AVE STE 102
STOCKTON, CA 95210
San Joaquin County (209) 957-8787
TRINH MINH NGUYEN PHARMD
Pharmacist
7720 LORRAINE AVE STE 102
STOCKTON, CA 95210
San Joaquin County (209) 957-8787
VAN DUONG PHARMD
Pharmacist
7720 LORRAINE AVE STE 102
STOCKTON, CA 95210
San Joaquin County (209) 957-8787

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 Diep Phan's NPI number?

The NPI number for Diep Phan is 1548741176. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Diep Phan located?

Diep Phan practices at 7720 Lorraine Ave Ste 102, Stockton, CA 95210. The listed phone number is (209) 957-8787.

What is Diep 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 Diep Phan was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.