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

Mr. Sourigna Berna Phan

Individual provider Massage Therapist · NPI 1972024792

Mr. Sourigna Berna Phan is a Massage Therapist in Corona, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

800 Magnolia Ave Ste 105
Corona, CA 92879-3123
Phone: (951) 905-0454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 70935 (CA)

Record details

NPI number1972024792
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2017
Last updated in NPPESJuly 21, 2022
Mailing address800 Magnolia Ave Ste 105, Corona, CA 92879-3123

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