Individual provider · Type 1 NPI

Phuong My Lane, BS

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1255951893 Active

Practice location

815 Colorado Blvd Ste 300
Los Angeles, CA 90041-1744

Call (323) 543-2800 Map

Fax (323) 978-1263

Mailing address

323 S Avenue 57 Apt 1
Los Angeles, CA 90042-5204

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1255951893

Phuong My Lane, BS's National Provider Identifier is 1255951893, issued on Apr 23, 2020. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 23, 2020.