Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LONG PHAM
Active Sole ProprietorLONG PHAM is a Recreation Therapist healthcare provider located in EASTVALE, California. NPI 1962986042 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · EASTVALE, CA
Registration Details
- NPI Number
- 1962986042
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2018 (7.9252147487664 yrs)
- Last Updated
- Sep 24, 2018
- License
-
29433 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7175 ENCLAVE DREASTVALE, CA, 928803828Browse CA providers · Browse ZIP 92880
- Phone
- 3187919853
- Primary Specialty
-
Recreation Therapist
225800000X
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.