Binh Phan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00013691 Issued in CA

Practice address

817 S St Andrews PL Apt 308
Los Angeles, CA 90005-3370

Phone

(323) 683-1863

NPI assigned

Apr 21, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Binh Phan Dokulil Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1831480060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ST ANDREWS PL",
            "address_2": "APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053357",
            "telephone_number": "323-683-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ST ANDREWS PL APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053370",
            "telephone_number": "323-683-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BINH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "00013691",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINH",
            "last_name": "DOKULIL",
            "middle_name": "PHAN",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adrianne Phan
• Alexander Phan
• Alexander Francis Phan, PA-C
• Allan Quang-Lam Phan, MD
• Andy Khoa Phan, PHARMD
• CHI Kim Phan, NP
• Christine Nguyen Phan, PHARMD
• Chuong Ngoc Phan
• Daniel Phan
• Diana Phan, B.A., M.A.

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.