Individual provider · Type 1 NPI

Kang Pha

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1194448688 Active

Practice location

401 S St
Sacramento, CA 95811-6919

Call (916) 584-7800 Map

Mailing address

5924 Silver Shadow Cir
Sacramento, CA 95823-6936

Other practice locations

  • 7273 14th Ave Ste 120B, Sacramento, CA 95820-3500 · (916) 383-6783

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Rehabilitation Practitioner 225400000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194448688

Kang Pha's National Provider Identifier is 1194448688, issued on Sep 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jun 15, 2026.