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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PONLORK CHHORN
NPI 1477488476
Physician Assistant in Garden Grove, CA

Active since June 13, 2026
13182 BLUE SPRUCE AVE, GARDEN GROVE, CA 92840(714) 697-9890 Get Directions Write a Review

NPPES record added: June 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ponlork Chhorn NPPES

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

PONLORK CHHORN (NPI 1477488476) is an individual physician assistant in Garden Grove, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1477488476
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePONLORK CHHORN
Location Address13182 BLUE SPRUCE AVEGarden Grove, CA 92840-6043
Mailing Address13182 Blue Spruce AveGarden Grove, CA 92840-6043 · (714) 697-9890
Phone(714) 697-9890
Sole ProprietorYes
Enumeration DateJune 13, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1477488476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13182 BLUE SPRUCE AVE, Garden Grove, CA 92840
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ponlork Chhorn's NPI number?

The NPI number for Ponlork Chhorn is 1477488476. It was assigned to this individual provider in the NPPES registry on June 13, 2026.

Where is Ponlork Chhorn located?

Ponlork Chhorn practices at 13182 Blue Spruce Ave, Garden Grove, CA 92840. The listed phone number is (714) 697-9890.

What is Ponlork Chhorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ponlork Chhorn was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.