Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

An Phan Fajardo

Individual provider Physical Therapist · NPI 1659849412

An Phan Fajardo is a Physical Therapist in Private Practice in Torrance, California. Qualified in 2018, 8 years ago. Practices with Goodlife Physical Medicine Corp, an 11-clinician group. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

16921 Taylor Ct
Torrance, CA 90504-2213
Phone: (310) 292-8179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 295871 (CA)

Record details

NPI number1659849412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2018
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Goodlife Physical Medicine Corp — 11 clinicians
Accepts Medicare assignment Not indicated

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