Johnny Phan
Johnny Phan is an Other Specialist/Technologist in San Diego, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
10970 Polaris DrSan Diego, CA 92126-2459
Phone: (858) 775-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X · Licence 4491866 (CA) |
|---|
Record details
| NPI number | 1114880705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2025 |
| Last updated in NPPES | December 9, 2025 |
| Certification date | December 9, 2025 |
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