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

Phouthovong Southiyanon

Individual provider Case Manager/Care Coordinator · NPI 1174740922

Phouthovong Southiyanon is a Case Manager/Care Coordinator in Sacramento, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

601 N Market Blvd Ste 100 Northgate Point Rst
Sacramento, CA 95834
Phone: (916) 567-4222
Fax: (916) 567-4220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1174740922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007

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