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

Ponlork Chhorn

Individual provider Physician Assistant · NPI 1477488476

Ponlork Chhorn is a Physician Assistant in Garden Grove, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13182 Blue Spruce Ave
Garden Grove, CA 92840-6043
Phone: (714) 697-9890
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477488476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2026
Last updated in NPPESJune 13, 2026
Certification dateJune 12, 2026
Mailing address13182 Blue Spruce Ave, Garden Grove, CA 92840-6043

Other providers in Garden Grove