Bophal Phen, CSW
Clinical Social Worker · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Gardner Family Health Network Inc · 24 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Bophal Phen’s office at (408) 918-2618 to ask if they take your plan before you enroll.
California Medical Board record
Licence G29401 · Cancelled
Licence status: Cancelled · since 1975 · University of Vermont College of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1750443594
- Licence
- CA 29401California G29401: Cancelled
- Video visits
- Lists video visits
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 1041C0700X (1041C0700X)
- Mailing address
- 160 E Virginia St Ste 100, San Jose, CA, 95112
- NPI first listed
- 2006-12-15
- NPI last updated
- 2023-02-08
- NPI record certified
- 2023-02-08
This is when the NPI record was last certified, not a medical board exam.