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D Q PHAM MEDICAL CORPORATION NPI 1770535841


NPI Information

NPI: 1770535841
Provider Name: D Q PHAM MEDICAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
14160 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 534-6911
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D Q PHAM MEDICAL CORPORATION is a general practice in Garden Grove, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee D Q PHAM MEDICAL CORPORATION NPI is 1770535841. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14160 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92843-657
Phone: (714) 534-6911
Fax: (714) 534-0852

The provider's authorized official is Dieu Quy Pham .
The authorized official title is President Of Dq Pham Medical Corpor and has the following contact phone number (714) 534-6911.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationA37427CALIFORNIANo
2207R00000XInternal MedicineA62320CALIFORNIANo
3208D00000XGeneral PracticeA37427CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0094890MEDICAIDCALIFORNIA
2W15953MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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