Mydung Phan
NPI 1083429369 · Peer Specialist · Glendale, AZ
Mydung Phan is a Peer Specialist organization in Glendale, AZ (NPI 1083429369).
Provider details
- NPI number
- 1083429369
- Entity type
- Organization
- Primary specialty
- Peer SpecialistOther Service Providers
- Parent organization
- Radadvantage a Professional Corporation
- Organization subpart
- Yes
- Authorized official
- Mydung Phan, Registered Nutrionist(480) 918-4775
Specialties & taxonomies
Other Service Providers
- Registered Dietetic Technician136A00000X
Dietary & Nutritional Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Driver172A00000X
Other Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mydung Phan
- Other name
- Mydung Thi Phan
Registry dates
- Enumerated
- 2025-02-12
- Last updated
- 2025-02-16
- Certified
- 2025-02-16
Frequently asked questions
- What is Mydung Phan's NPI number?
- Mydung Phan's National Provider Identifier (NPI) is 1083429369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mydung Phan?
- Mydung Phan is classified in the NPPES registry as Peer Specialist (Other Service Providers).
- Where is Mydung Phan located?
- Mydung Phan's practice location on file with NPPES is 6637 N 58th Dr Apt 3, Glendale, AZ 85301-3900.
- What is Mydung Phan's phone number?
- The practice phone number listed in the NPPES registry for Mydung Phan is (480) 918-4775.
- Who is the authorized official for Mydung Phan?
- The authorized official listed on Mydung Phan's NPPES record is Mydung Phan, Registered Nutrionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mydung Phan's NPI active?
- Yes — Mydung Phan's NPI (1083429369) is active in the NPPES registry as of the last update on 2025-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.