Phak, David

Phak, David is an individual health care provider with primary practice located at 685 Carnegie Dr Ste 135 , San Bernardino CA 92408-3581. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Phak, David can be contacted via phone (909) 658-7655.

Contact Information

Primary practice address
685 Carnegie Dr Ste 135 San Bernardino CA 92408-3581
Phone: (909) 658-7655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95066269 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95029043 California

Profile Details

NPI number 1366169849
LBN Legal business name Phak, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2022
Last updated May 1st, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366169849 NPPES
Other 0000 N/A

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