Search › California › 101YA0400X
Rebecca Phongsa
NPI 1790228781 · on the registry since 2016
Practice
- Address
- 1947 North Calfornia Street
Suite B
Stockton, CA 95204 - Phone
- (209) 463-0870
- Fax
- (209) 463-1803
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-23
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