IndividualActive
Lien Chau Phan
NPI 1124724737 · Recreational Therapist Assistant · Seal Beach, CA
Provider details
- NPI number
- 1124724737
- Entity type
- Individual
- Primary specialty
- Recreational Therapist AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3000 N Gate Rd
Seal Beach, CA 90740-2535
Phone: (714) 651-9226
Approximate (ZIP-level) locationGet directions
Mailing address
9632 Cerritos Ave
Anaheim, CA 92804-5904
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2023-02-06
- Certified
- 2023-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.