Tuyet Bach Phan, A.T.C.
Specialist/Technologist, Athletic Trainer in Redondo Beach, CA. Individual provider (NPI-1).
NPI number1861456972
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1861456972
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tuyet Bach Phan
- Credential
- A.T.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | CA | Yes |
Other names
- Snow Phan (Other Name)
Practice location
2400 Carnegie Ln#2
Redondo Beach, CA 90278-3811
Phone 310-377-1543 · Fax 310-377-0380
Mailing address
2400 Carnegie LnRedondo Beach, CA 90278-3811
Phone 310-377-1543 · Fax 310-377-0380
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