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

Kimmy Phan

Individual provider Occupational Therapist · NPI 1043843816

Kimmy Phan is an Occupational Therapist in Garden Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

11911 W St
Garden Grove, CA 92840-2552
Phone: (714) 467-9816
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 19050 (CA)

Record details

NPI number1043843816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 19, 2020
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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