Pham, Huan Phu

Pham, Huan Phu is an sole proprietor health care provider with primary practice located at 5252 El Cajon Blvd Apt 208 , San Diego CA 92115-4762. He recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Poetry Therapist, Other Service Providers / Independent Duty Medical Technicians, Other Service Providers / Home Modifications, Other Service Providers / Specialist, Other Service Providers / Lodging, Agencies / Supports Brokerage, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Point of Service, Suppliers / Blood Bank, Transportation Services / Air Carrier, Transportation Services / Private Vehicle, Transportation Services / Train, Transportation Services / Transportation Broker, Other Service Providers / Research Data Abstracter/Coder. Other Service Providers / Research Data Abstracter/Coder is his primary health care specialty. Pham, Huan Phu can be contacted via phone (619) 314-2728.

Contact Information

Primary practice address
5252 El Cajon Blvd Apt 208 San Diego CA 92115-4762
Phone: (619) 314-2728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Poetry Therapist 102X00000X
Other Service Providers / Independent Duty Medical Technicians 1710I1003X
Other Service Providers / Home Modifications 171WH0202X
Other Service Providers / Specialist 174400000X
Other Service Providers / Lodging 177F00000X
Agencies / Supports Brokerage 251X00000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Managed Care Organizations / Point of Service 305S00000X
Suppliers / Blood Bank 331L00000X
Transportation Services / Air Carrier 344800000X
Transportation Services / Private Vehicle 347C00000X
Transportation Services / Train 347D00000X
Transportation Services / Transportation Broker 347E00000X
Other Service Providers / Research Data Abstracter/Coder 1744R1103X

Profile Details

NPI number 1649995937
LBN Legal business name Pham, Huan Phu
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2022
Last updated Oct 10th, 2022 - 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 1649995937 NPPES
California MEDICAID 93638370A18274

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