Search › California › 363A00000X
Jamie Phan, PA-C
NPI 1619600194 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4551 Glencoe Ave Ste 145
Marina Del Rey, CA 90292 - Phone
- (310) 405-0595
- Organisation at this address
- Lrnm Medical
Horizonwave, Pc
Saba Dental Group
Shore Hip And Joint
Steven Girdler Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 120 W Hellman Ave, Monterey Park, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California