MARY PHAM CHIROPRACTIC INC NPI 1619197035

NPI Information

NPI: 1619197035
Provider Name: MARY PHAM CHIROPRACTIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14795 JEFFRY ROAD # 104
IRVINE, CA
ZIP 92618
Phone: (949) 654-8219
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MARY PHAM CHIROPRACTIC INC is a chiropractor in Irvine, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MARY PHAM CHIROPRACTIC INC NPI is 1619197035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14795 JEFFRY ROAD # 104
IRVINE, CA
ZIP 92618
Phone: (949) 654-8219

The provider's authorized official is Mary Pham .
The authorized official title is Dc and has the following contact phone number (949) 654-8219.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/7/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC22812	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1619197035	OTHER	CALIFORNIA	ANTHEM BLUE CROSS
2	1619197035	OTHER	CALIFORNIA	BLUE SHIELD OF ILLINOIS
3	1619197035	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
4	1619197035	OTHER	CALIFORNIA	BLUE CROSS / BLUE SHIELD OF ILLINOIS
5	1619197035	OTHER	CALIFORNIA	PACIFICARE
6	1619197035	OTHER	CALIFORNIA	REGENCE BLUE SHIELD
7	1619197035	OTHER	CALIFORNIA	CIGNA
8	1619197035	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
9	1619197035	OTHER	CALIFORNIA	BLUE CROSS / BLUE SHIELD OF GEORGIA
10	1619197035	OTHER	CALIFORNIA	BLUE SHIELD OF TEXAS
11	1619197035	OTHER	CALIFORNIA	OHI INC. (OXFORD HEALTH PLANS)
12	1619197035	OTHER	CALIFORNIA	GREAT WEST
13	1619197035	OTHER	CALIFORNIA	BLUE CROSS / BLUE SHIELD OF TEXAS
14	1619197035	OTHER	CALIFORNIA	UNITED HEALTHCARE
15	1619197035	OTHER	CALIFORNIA	BLUE SHIELD OF PENNSYLVANIA
16	1619197035	OTHER	CALIFORNIA	AETNA

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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