Search › California › 103TS0200X
Olivia Phayvanh
NPI 1245850288 · on the registry since 2020 · sole proprietor
Practice
- Address
- 455 Windrose Way
Chula Vista, CA 91910 - Phone
- (619) 498-3000
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-20
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