Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Phan

Individual provider Pharmacist · NPI 1902227481

Marissa Phan is a Pharmacist in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

15555 E 14th St #400
San Leandro, CA 94578
Phone: (510) 276-2699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 66269 (CA)

Record details

NPI number1902227481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 30, 2013
Last updated in NPPESDecember 30, 2013

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