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Travis Phillips

NPI 1871483933 · on the registry since 2025 · sole proprietor

Practice

Address
1812 Canal Ave
Long Beach, CA 90810
Phone
(323) 622-9461

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-08

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