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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 6 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 1922044940 NPPES
California Other ZZZ20990Z BLUE SHIELD
California MEDICAID 00A700060 BLUE SHIELD

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