Samuel Khoa Phan
Samuel Khoa Phan is a Clinical Social Worker in Anaheim, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
222 S Harbor Blvd Ste 400Anaheim, CA 92805-3743
Phone: (714) 517-6300
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCSW142699 (CA) |
|---|
Record details
| NPI number | 1932877578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 30, 2021 |
| Last updated in NPPES | October 11, 2026 |
| Certification date | October 11, 2026 |
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