Individual
KHANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 ROYCE ST STE E, LOS GATOS, CA 95030-6041
(408) 358-1460
Mailing address
114 ROYCE ST STE E, LOS GATOS, CA 95030-6041
(408) 358-1460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25744
CA
Other
Enumeration date
04/22/2019
Last updated
10/02/2025
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