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

Kenny Pham

Individual provider Physical Therapy Assistant · NPI 1013868249

Kenny Pham is a Physical Therapy Assistant in Fountain Valley, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

11420 Warner Ave
Fountain Valley, CA 92708-2529
Phone: (657) 205-0455
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 53710 (CA)

Record details

NPI number1013868249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address11420 Warner Ave, Fountain Valley, CA 92708-2529

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