Pham, Mai Tan

Pham, Mai Tan is an individual health care provider with primary practice located at 2060 Fairmont Dr , San Leandro CA 94578-1001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pham, Mai Tan can be contacted via phone (510) 346-1496.

Contact Information

Primary practice address
2060 Fairmont Dr San Leandro CA 94578-1001
Phone: (510) 346-1496
Fax: (510) 346-7521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 64230 California

Profile Details

NPI number 1346372703
LBN Legal business name Pham, Mai Tan
Credentials CLINICAL SOCIAL WORK
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jan 3rd, 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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