Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNY H PHAN, CRT
Active Sole ProprietorKENNY H PHAN, CRT is a 2471M1202X healthcare provider located in GARDEN GROVE, California. NPI 1174104186 is currently active in the NPPES registry. Verify at CMS.
2471M1202X · GARDEN GROVE, CA
Registration Details
- NPI Number
- 1174104186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2021 (5.2753564009281 yrs)
- Last Updated
- Apr 20, 2021
- License
-
2719 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13071 BROOKHURST ST STE 100GARDEN GROVE, CA, 928435514Browse CA providers · Browse ZIP 92843
- Phone
- 7144259066
- Primary Specialty
-
2471M1202X
2471M1202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.