Mindy Phan, PA-C
NPI 1063996916 · Physician Assistant · Tustin, CA
Mindy Phan, PA-C is a Physician Assistant provider in Tustin, CA (NPI 1063996916).
Provider details
- NPI number
- 1063996916
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA56216 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-17
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.