Son Phan

General Practice Physician · Orange, CA

Individual Active NPI

NPI number 1972669091

Practice location

101 the City Dr S
Orange, CA 92868-3201
Phone
(714) 456-7890

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NPI record

NPI
1972669091
Entity type
Individual (Type 1)
Enumeration date
January 1, 2007
Last updated
October 4, 2025
Certified
October 4, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 102974 CA

Mailing address

11201 Benton St # 114
Loma Linda, CA 92357-1000
Phone
(909) 825-7084

About Son Phan

Son Phan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 101 the City Dr S, Orange, CA 92868-3201. The NPI number 1972669091 was assigned on January 1, 2007 and the record was last updated on October 4, 2025.

Son Phan lists a license in the registry: #102974 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Son Phan?

The NPI number is 1972669091.

What is the phone number of Son Phan?

The phone number listed for the practice location is (714) 456-7890.

Where is Son Phan located?

101 the City Dr S, Orange, CA 92868-3201.

What is the taxonomy code for Son Phan?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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