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Individual

JOSEPH K PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2670 S WHITE RD STE 200, SAN JOSE, CA 95148-2073
(408) 937-1553
Mailing address
2670 S WHITE RD STE 200, SAN JOSE, CA 95148-2073
(408) 937-1553
(408) 516-0053

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135853
CA
171M00000X
Case Manager/Care Coordinator
CA
225400000X
Rehabilitation Practitioner
CA

Other

Enumeration date
05/06/2021
Last updated
02/10/2026
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