Phillips, Destiny Lareine

Phillips, Destiny Lareine is an individual health care provider with primary practice located at 1860 Pennsylvania Ave Ste 300 , Fairfield CA 94533-3550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Phillips, Destiny Lareine can be contacted via phone (707) 646-4100.

Contact Information

Primary practice address
1860 Pennsylvania Ave Ste 300 Fairfield CA 94533-3550
Phone: (707) 646-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A189157 California

Profile Details

NPI number 1871236158
LBN Legal business name Phillips, Destiny Lareine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2022
Last updated Jul 8th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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