KENNY H PHAN CRT
NPI 1174104186
Radiologic Technologist - Magnetic Resonance Imaging in Garden Grove, CA

Q: What is Kenny Phan's NPI number?

The NPI number for Kenny Phan is 1174104186. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Kenny Phan's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

Q: When was this NPI record last updated?

The NPPES record for Kenny Phan was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2021

13071 BROOKHURST ST STE 100, GARDEN GROVE, CA 92843(714) 425-9066 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenny H Phan Crt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY H PHAN CRT (NPI 1174104186) is an individual magnetic resonance imaging provider in Garden Grove, California, licensed in Florida (2719) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1174104186

Entity TypeIndividualMale

Primary Taxonomy2471M1202X

Provider Legal NameKENNY H PHANCredential: CRT

Location Address13071 BROOKHURST ST STE 100Garden Grove, CA 92843-5514

Mailing Address13071 Brookhurst St Ste 100Garden Grove, CA 92843-5514 · (714) 425-9066

Phone(714) 425-9066

Sole ProprietorYes

Enumeration DateApril 20, 2021

NPPES CertifiedApril 20, 2021

✔ NPI 1174104186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code2471M1202X

License✔ Licensed in FL · 2719

Definition

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.

13071 BROOKHURST ST STE 100, Garden Grove, CA 92843

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCEL IMAGING CENTER INC

Radiology (Body Imaging)

13071 BROOKHURST ST STE 100
GARDEN GROVE, CA 92843

Orange County (714) 583-8126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Phan's NPI number?

The NPI number for Kenny Phan is 1174104186. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Kenny Phan located?

Kenny Phan practices at 13071 Brookhurst St Ste 100, Garden Grove, CA 92843. The listed phone number is (714) 425-9066.

What is Kenny Phan's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

When was this NPI record last updated?

The NPPES record for Kenny Phan was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.