Jimmy Bao Pham in Corona - General Practice

Jimmy Bao Pham - NPI 1972791275

Jimmy Bao Pham is a General Practice in Corona, California. Jimmy Bao Pham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jimmy Bao Pham is 1972791275. The last update date is 2008-03-24.

Jimmy Bao Pham's current location address is 3811 Bedford Canyon Rd, Corona, California. You can contact this provider via phone number 9512700211. The mailing address for Jimmy Bao Pham is 3811 Bedford Canyon Rd, Corona, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jimmy Bao Pham
Address 3811 Bedford Canyon Rd, Corona, California
Phone Number 9512700211
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1972791275
Provider Enumeration Date 2007-10-11
Last Updated Date 2008-03-24

Provider Mailing Address Detail

Address 3811 Bedford Canyon Rd
City Corona
State California (CA)
Post Code 928830789
Phone Number 9512700211
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 56450
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jimmy Bao Pham

What is the unique identification code assigned to Jimmy Bao Pham by the Centers for Medicare & Medicaid Services?

The Jimmy Bao Pham has been issued the NPI (National Provider Identifier) 1972791275. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jimmy Bao Pham's facilities are geographically located?

The facilities of Jimmy Bao Pham are physically situated at the following location: 3811 Bedford Canyon Rd, Corona, CA, 928830789.

What is Jimmy Bao Pham'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 Jimmy Bao Pham is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Jimmy Bao Pham receive the assignment of its 1972791275 from the Centers for Medicare & Medicaid Services?

The Jimmy Bao Pham was issued its 1972791275 by the Centers for Medicare & Medicaid Services on 2007-10-11.

As of what date were the Jimmy Bao Pham's details last updated?

The information pertaining to the Jimmy Bao Pham, including its address, specialty, and other details, was most recently updated on 2008-03-24.

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