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

Kenny H Phan, CRT

Individual provider Magnetic Resonance Imaging Radiologic Technologist · NPI 1174104186

Kenny H Phan, CRT is a Magnetic Resonance Imaging Radiologic Technologist in Garden Grove, California. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

13071 Brookhurst St Ste 100
Garden Grove, CA 92843-5514
Phone: (714) 425-9066
Show map & directions

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

Specialties & licences

Magnetic Resonance Imaging Radiologic Technologist (primary) Taxonomy 2471M1202X · Licence 2719 (FL)

Record details

NPI number1174104186
Entity typeIndividual (Type 1)
GenderMale
Credentials CRT
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021