Pham, Evan
Pham, Evan is an sole proprietor health care provider with primary practice located at 7941 Beach Blvd Ste J , Buena Park CA 90620-1900. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pham, Evan can be contacted via phone (714) 736-6855.Contact Information
Primary practice address
7941 Beach Blvd Ste J
Buena Park CA 90620-1900
Phone: (714) 736-6855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 292457 | California |
Profile Details
| NPI number | 1851834683 |
|---|---|
| LBN Legal business name | Pham, Evan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2016 |
| Last updated | May 15th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851834683 | NPPES |
| California | Other | 1035770941 | MEDICARE NPI |
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