Phan, Sourigna Berna

Phan, Sourigna Berna is an individual health care provider with primary practice located at 800 Magnolia Ave Ste 105 , Corona CA 92879-3123. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Phan, Sourigna Berna can be contacted via phone (951) 905-0454.

Contact Information

Primary practice address
800 Magnolia Ave Ste 105 Corona CA 92879-3123
Phone: (951) 905-0454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 70935 California

Profile Details

NPI number 1972024792
LBN Legal business name Phan, Sourigna Berna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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