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

Theodore Phan

Individual provider Clinical Social Worker · NPI 1154783736

Theodore Phan is a Clinical Social Worker in Orange, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

4000 W Metropolitan Dr
Orange, CA 92868-3504
Phone: (866) 830-6011
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 95767 (CA)

Record details

NPI number1154783736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address6100 Chip Ave, Cypress, CA 90630-5212

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