Leah Phan, D.O. Valid NPI

Individual provider · Family Medicine Physician · Fountain Valley, CA

NPI

1104288562

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

20A15916 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2016-03-24

Last updated

2026-02-26