| Organization Name: | PACIFIC CLINICS |
| NPI Number: | 1093840647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHUNG PHAM (MENTAL HEALTH THERAPIST) |
| Mailing Address: | 9353 Valley Blvd Rosemead |
| State: | CA US |
| Postal Code: | 917701934 |
| Phone Number: | 6262872988 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |