Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Long Pham

Individual provider Recreation Therapist · NPI 1962986042

Long Pham is a Recreation Therapist in Eastvale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

7175 Enclave Dr
Eastvale, CA 92880-3828
Phone: (318) 791-9853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 29433 (CA)

Record details

NPI number1962986042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018