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

Long Pham

Individual provider Recreation Therapist · NPI 1962986042

Long Pham is a Recreation Therapist in Eastvale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

7175 Enclave Dr
Eastvale, CA 92880-3828
Phone: (318) 791-9853
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 29433 (CA)

Record details

NPI number1962986042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018
Mailing address7175 Enclave Dr, Eastvale, CA 92880-3828