Bunthy Prum is a Clinical in Oakland, California. Bunthy Prum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bunthy Prum is 1962549543. The last update date is 2019-09-03.
Bunthy Prum's current location address is 1023 Macarthur Blvd., Oakland, California. You can contact this provider via phone number 5108747152 and fax number 5104741473. The mailing address for Bunthy Prum is 1023 Macarthur Blvd., Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bunthy Prum |
|---|---|
| Address | 1023 Macarthur Blvd., Oakland, California |
| Phone Number | 5108747152 |
| Fax Number | 5104741473 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1962549543 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2019-09-03 |
Provider Mailing Address Detail
| Address | 1023 Macarthur Blvd. |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946103965 |
| Phone Number | 5108747152 |
| Fax Number | 5104741473 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 29369 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Bunthy Prum by the Centers for Medicare & Medicaid Services?
The Bunthy Prum has been assigned the NPI (National Provider Identifier) 1962549543. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bunthy Prum located?
The Bunthy Prum is located at 1023 Macarthur Blvd., Oakland, CA 946103965.
What is Bunthy Prum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bunthy Prum is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Bunthy Prum receive the assignment of its 1962549543 from the Centers for Medicare & Medicaid Services?
The Bunthy Prum was issued its 1962549543 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to Bunthy Prum most recently updated or revised?
The details related to Bunthy Prum, including its address, specialty, and other relevant information, were last updated or revised on 2019-09-03.