Tuan Phan | San Jose, CA • PECOS Search

Tuan Phan

Social Worker

Behavioral Health & Social Service Providers

97 E Brokaw Rd Ste 150, San Jose, CA 95112-4221

PECOS Enrollment

Based on the most recent information from CMS, provider Tuan Phan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1730752239
Provider Type
Individual
Full Name
Phan, Tuan
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/21/2021
Last Updated
2/24/2026

Contact Information

Practice Location

97 E Brokaw Rd Ste 150, San Jose, CA 95112-4221

Unlisted Fax

Mailing Location

97 E Brokaw Rd Ste 150, San Jose, CA 95112-4221

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License ACSW124132 California