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

Kevin Phung

Individual provider Physical Therapist · NPI 1306416458

Kevin Phung is a Physical Therapist in Private Practice in Seal Beach, California. Qualified in 2021, 5 years ago. Practices with Rossmoor Rehabilitation Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

12501 Seal Beach Blvd Ste 210
Seal Beach, CA 90740-2755
Phone: (562) 493-8800
Fax: (562) 493-2980
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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 300400 (CA)

Record details

NPI number1306416458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address11262 Elkwood St, Sun Valley, CA 91352-4437

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rossmoor Rehabilitation Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Seal Beach