NPI
Sourigna Berna Phan
NPI 1972024792
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2017-06-30
- Last updated
- 2022-07-21
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Specialties
Licenses
- License CA
- 70935
Location
- Practice location
- 800 Magnolia Ave Ste 105
- City
- Corona CA
- Postal code
- 92879-3123
- Phone
- (951) 905-0454
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Massage Therapists in Corona, CA. 29 with this primary taxonomy in the public file.
Other NPIs in Corona, CA. 4,902 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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