Doctor Name: | TO PHAM |
NPI Number: | 1821493875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A33060 |
Business Practice Address: | 16 Via Coralle Newport Beach, CA - 926571625 |
Business Phone Number: | 9497153020 |
Business Fax Number: | 9497153021 |
Mailing Address: | 16 Via Coralle, NEWPORT BEACH |
State: | CA |
Postal Code: | 926571625 |
Phone Number: | 9497153020 |
Fax Number: | 9497153021 |
NPI Enumeration Date: | 10/31/2014 |
NPI Last Update Date: | 10/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A33060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |