Kenny Phan, CRT

NPI 1174104186 · on the registry since 2021 · sole proprietor

Practice

Address: 13071 Brookhurst St Ste 100
Garden Grove, CA 92843
Phone: (714) 425-9066
Organisation at this address: Gregory K. Yun
Aaa Medical Group
Ln Surgery Clinic
Vy Chiropractic, Inc
Occ Medical Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 2471M1202X
2471M1202X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California