| Mr Sourigna Berna Phan, | |
|
800 Magnolia Ave Ste 105, Corona, CA 92879-3123 | |
| (951) 905-0454 | |
| Not Available |
| Full Name | Mr Sourigna Berna Phan |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 800 Magnolia Ave Ste 105, Corona, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972024792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 70935 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sourigna Berna Phan, 800 Magnolia Ave Ste 105, Corona, CA 92879-3123 Ph: (951) 905-0454 | Mr Sourigna Berna Phan, 800 Magnolia Ave Ste 105, Corona, CA 92879-3123 Ph: (951) 905-0454 |
Miss Lei Jiang, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Magnolia Ave, Corona, CA 92879 Phone: 951-371-8888 | |
Mr. Steven H Kinder, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Magnolia Ave Ste B3, Corona, CA 92879 Phone: 951-371-8888 | |
Sulan Ding, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Magnolia Ave Ste B3, Corona, CA 92879 Phone: 951-371-8888 Fax: 951-666-7077 | |
Amanda Nicole Fiallos, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 932 Cimarron Ln, Corona, CA 92879 Phone: 951-961-1237 | |
Michael Foster Jr., CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8831 Crest View Dr, Corona, CA 92883 Phone: 760-486-7029 | |
Cathleen Branch, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13385 Knollwood Dr, Corona, CA 92883 Phone: 949-933-9125 | |
Janis Lynn-harris Corona, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1973 Foothill Pkwy Unit 110, Corona, CA 92881 Phone: 951-358-9116 |