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

Grace Gotos Phan, LPT

Individual provider Technician · NPI 1912235276

Grace Gotos Phan, LPT is a Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

2812 Breaker Way
Stockton, CA 95209-4265
Phone: (209) 351-7132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT32760 (CA)
Technician Taxonomy 374700000X · Licence PT32760 (CA)

Record details

NPI number1912235276
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorYes
NPI enumeratedNovember 25, 2009
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

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