Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY PHAN, PT, DPT
DeactivatedHand Therapy · LAGUNA HILLS, CA
This NPI has been deactivated.
The record was deactivated on December 6, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1881131118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2017 (0.86301369863014 yrs)
- Last Updated
- Aug 5, 2019
- Deactivated
- Dec 6, 2017
- License
-
PT293952 (CA)
Practice Information
- Address
-
24422 AVENIDA DE LA CARLOTA STE 190LAGUNA HILLS, CA, 926533634Browse CA providers · Browse ZIP 92653
- Phone
- 9493406927
- Primary Specialty
-
Hand Therapy
2251G0304X
Other Hand Therapy Providers in LAGUNA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SAPAN NARESH PALKHIWALA | D.P.T. | 1306917133 |
| ANTOINETTE GRAYSON | — | 1396959144 |
| ROMMEL BANTOG DIJON | DPT | 1942486758 |
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.