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MR. SOURIGNA BERNA PHAN
NPI 1972024792
Massage Therapist in Corona, CA

Active since June 30, 2017
800 MAGNOLIA AVE STE 105, CORONA, CA 92879(951) 905-0454 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 30, 2017 (2 updates tracked since 2017).

About Mr. Sourigna Berna Phan NPPES

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

MR. SOURIGNA BERNA PHAN (NPI 1972024792) is an individual massage therapist in Corona, California, licensed in California (70935) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1972024792
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. SOURIGNA BERNA PHAN
Location Address800 MAGNOLIA AVE STE 105Corona, CA 92879-3123
Mailing Address800 Magnolia Ave Ste 105Corona, CA 92879-3123 · (951) 905-0454
Phone(951) 905-0454
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1972024792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 70935
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
800 MAGNOLIA AVE STE 105, Corona, CA 92879
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Other Providers at the Same Location NPPES 2

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

VANESSA JOY YEE CMT
Massage Therapist
800 MAGNOLIA AVE STE 105
CORONA, CA 92879
Riverside County (951) 905-0454
HEALTH MASTERS MD, INC
Clinic/Center (Primary Care)
800 MAGNOLIA AVE STE 105
CORONA, CA 92879
Riverside County (951) 368-0935

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 Sourigna Phan's NPI number?

The NPI number for Sourigna Phan is 1972024792. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Sourigna Phan located?

Sourigna Phan practices at 800 Magnolia Ave Ste 105, Corona, CA 92879. The listed phone number is (951) 905-0454.

What is Sourigna Phan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Sourigna Phan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.