IndividualActive
Peter Phan, DMD
NPI 1558496174 · General Practice Dentistry · Gardena, CA
Peter Phan, DMD is a General Practice Dentistry provider in Gardena, CA (NPI 1558496174).
Provider details
- NPI number
- 1558496174
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 54722 (CA)
Practice location
16229 S Western Ave Ste 2
Gardena, CA 90247
Phone: (408) 256-3435
Street-level locationGet directions
Mailing address
16229 S Western Ave Ste 2
Gardena, CA 90247-4660
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.