LISE PHAN (NPI# 1487031100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487031100 |
| Entity Type | Individual |
| Full Name | LISE PHAN |
| Credential | MD |
| Practice Address |
1015 N 1st Ave Suite B Arcadia CA 91006 |
| Practice Telephone | 6265983770 |
| Practice Fax Number | 6265983770 |
| Mailing Telephone | 6265983770 |
| Mailing Fax Number | 6265983797 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A147823 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
A147823 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1015 N 1ST AVE SUITE B |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811903404 | Gail Hartley | Nurse Practitioner | 1015 N 1st Ave, Arcadia, CA 91006-7401 | 2006-08-01 |
| 1740406628 | Shuichi Suzuki, M.d., Inc. | Psychiatry & Neurology | 1015 N 1st Ave, Suite A, Arcadia, CA 91006-7401 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962894923 | Eric S. Frechette, M.d., Inc. | Psychiatry & Neurology | 622 W Duarte Rd Ste 304, Arcadia, CA 91007-9280 | 2015-02-28 |
| 1558508663 | Adeel M Popalzai | Psychiatry & Neurology | 1015 N. First Avenue, Suite A, Arcadia, CA 91006-7401 | 2009-01-12 |
| 1962653162 | June Chih Jesse Liu Md Inc | Psychiatry & Neurology | 713 W Duarte Rd # G543, Arcadia, CA 91007-7564 | 2008-10-07 |
| 1255594685 | Rami Garo Apelian | Psychiatry & Neurology | 289 W Huntington Dr Ste 301, Arcadia, CA 91007-3490 | 2008-07-07 |
| 1417152042 | Ron Andrew Shatzmiller | Psychiatry & Neurology | 450 E Huntington Dr., Health Care Partners, Arcadia, CA 91106-3748 | 2007-06-14 |
| 1568567055 | Vincent M Fortanasce Md, Inc | Psychiatry & Neurology | 289 W Huntington Dr Ste 309, Arcadia, CA 91007-3493 | 2006-09-13 |
| 1265442180 | Richard Alan Shubin | Psychiatry & Neurology | 1015 North First Ave, Suite A, Arcadia, CA 91006-2534 | 2006-08-09 |
| 1104833052 | Vincent M Fortanasce | Psychiatry & Neurology | 665 W Naomi Ave Ste 201, Arcadia, CA 91007-7563 | 2006-08-02 |
| 1649293259 | Arthur An | Psychiatry & Neurology | 1015 N First Ave, Suite A, Arcadia, CA 91006-7401 | 2006-07-25 |
| 1376569517 | Shuichi Suzuki | Psychiatry & Neurology | 1015 North 1st Ave. Suite A, Arcadia, CA 91006 | 2006-07-14 |
| Find all providers in ARCADIA | ||||
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| 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.