Linh Ngockhanh Phan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385

Phone

(714) 403-0071

NPI assigned

Oct 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1962913715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16580 HARBOR BLVD STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081385",
            "telephone_number": "714-403-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16580 HARBOR BLVD STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081385",
            "telephone_number": "714-403-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "LINH",
        "middle_name": "NGOCKHANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huan Phan
• Ivy Phan
• Justin Phan
• Leah Phan, D.O.
• Lillian Phan, M.S., BCBA
• Michael Khai Phan, DC
• Pauline Lee Phan, D.D.S.
• Tiffany Phan, FNP
• Pharmacore, Inc. (Trinity Mission Pharmacy)
• Philip M. Nisco, D.D.S., Inc

• Case Manager/Care Coordinator in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.