Pham, Huyen Quang
Pham, Huyen Quang is an individual health care provider with primary practice located at 1441 Eastlake Ave , Los Angeles CA 90089-9171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Pham, Huyen Quang can be contacted via phone (323) 865-0062.Contact Information
Primary practice address
1441 Eastlake Ave
Los Angeles CA 90089-9171
Phone: (323) 865-0062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | A70006 | California |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | A70006 | California |
Profile Details
| NPI number | 1922044940 |
|---|---|
| LBN Legal business name | Pham, Huyen Quang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Sep 15th, 2018 - about 8 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 | 1922044940 | NPPES |
| California | Other | ZZZ20990Z | BLUE SHIELD |
| California | MEDICAID | 00A700060 | BLUE SHIELD |
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