St.Paul Medical Center Of The S. Bay

LBN: Bang Vu Pham M D Professional
St.Paul Medical Center Of The S. Bay is an health care organization with primary practice located at 12923 Inglewood Ave Ste 1 , Hawthorne CA 90250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bang Vu Pham M D Professional can be contacted via phone (310) 675-0395, or through Pham, Dolly V. via phone (310) 675-0395.

Contact Information

Primary practice address
12923 Inglewood Ave Ste 1 Hawthorne CA 90250
Phone: (310) 675-0395
Fax: (310) 675-0497
Website:
Map and Directions
Authorized official contact:
Name: Pham, Dolly V. MBA
Phone: (310) 675-0395

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1447262522
LBN Legal business name Bang Vu Pham M D Professional
DBA Doing business as St.Paul Medical Center Of The S. Bay
Authorized official Pham, Dolly V. MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 6th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447262522 NPPES
California MEDICAID GR0044320

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