ANNIE PHAN (NPI# 1316581416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316581416 |
| Entity Type | Individual |
| Full Name | ANNIE PHAN |
| Practice Address |
1576 Outrigger West Covina CA 91790-3397 |
| Practice Telephone | 6264008661 |
| Mailing Telephone | 6264008661 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1576 OUTRIGGER |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294785 | Eriberto Garibay | Student in an Organized Health Care Education/Training Program | 131 S Barranca St Apt 399, West Covina, CA 91791-2282 | 2020-08-04 |
| 1992333074 | Jennifer Lynne Malapitan Perez | Student in an Organized Health Care Education/Training Program | 129 S Astell Ave, West Covina, CA 91790-3110 | 2020-04-01 |
| 1093366510 | Sheng Li | Student in an Organized Health Care Education/Training Program | 721 S California Ave, West Covina, CA 91790-3607 | 2019-09-25 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1285110635 | Renier Middle Name Rosquete Mendez | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Ave # 2, West Covina, CA 91790-3940 | 2018-07-18 |
| 1427450139 | Elsa Jaimes | Student in an Organized Health Care Education/Training Program | 1029 E Eckerman Ave, West Covina, CA 91790-1742 | 2014-09-24 |
| 1235564022 | Jennifer De Santos | Student in an Organized Health Care Education/Training Program | 1025 E Puente Ave, West Covina, CA 91790-1355 | 2013-09-11 |
| 1801924667 | Marcela Roldan | Student in an Organized Health Care Education/Training Program | 1530 W Cameron Ave, West Covina, CA 91790-2711 | 2007-03-01 |
| 1063028405 | Rebecca Ann Beckett | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2020-09-21 |
| 1417563859 | Robin Alyssa Harney | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2020-09-21 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on ANNIE PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.