| Kathy Phan, | |
|
1451 Irvine Blvd, Tustin, CA 92780-3804 | |
| (714) 838-8878 | |
| Not Available |
| Full Name | Kathy Phan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1451 Irvine Blvd, Tustin, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265077556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA58387 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uci Health-orange | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 5597663641 | 61 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679521850 PECOS PAC ID: 5597663641 Enrollment ID: O20031226000376 |
| Entity Name | Riviera Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225224389 PECOS PAC ID: 0244311942 Enrollment ID: O20080119000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Phan, 6591 La Pat Ct Apt A, Westminster, CA 92683-3647 Ph: Not Available | Kathy Phan, 1451 Irvine Blvd, Tustin, CA 92780-3804 Ph: (714) 838-8878 |
Crystal Martin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Mr. Carlos Guerrero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Henry C. Luu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17612 17th St Ste 101, Tustin, CA 92780 Phone: 714-243-5450 |
Mindy Thanh Phan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Amanda Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18302 Irvine Blvd Ste 200, Tustin, CA 92780 Phone: 949-825-7650 |
Laurie Jeanne Mazzei, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 |
Rebecca Marquez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |