Pham, Jonathan Theodore
Pham, Jonathan Theodore is an individual health care provider with primary practice located at 11234 Anderson Street, Gme Office Westerly Suite 'C' , Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pham, Jonathan Theodore can be contacted via phone (909) 558-4074.Contact Information
Primary practice address
11234 Anderson Street, Gme Office Westerly Suite 'C'
Loma Linda CA 92354-2804
Phone: (909) 558-4074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A176996 | California |
Profile Details
| NPI number | 1548825284 |
|---|---|
| LBN Legal business name | Pham, Jonathan Theodore |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2019 |
| Last updated | Oct 5th, 2022 - about 4 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 | 1548825284 | NPPES |
| Other | LL2502322 | LOMA LINDA UNIVERSITY RISK MANAGEMENT |
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