Peter Pham is a General Practice in Los Angeles, California. Peter Pham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peter Pham is 1114084597. The last update date is 2009-02-03.
Peter Pham's current location address is 1257 Brockton Ave Unit 101, Los Angeles, California. You can contact this provider via phone number 3104868500. The mailing address for Peter Pham is 1257 Brockton Ave Unit 101, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Pham |
|---|---|
| Address | 1257 Brockton Ave Unit 101, Los Angeles, California |
| Phone Number | 3104868500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114084597 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2009-02-03 |
Provider Mailing Address Detail
| Address | 1257 Brockton Ave Unit 101 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900257724 |
| Phone Number | 3104868500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 53936 |
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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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What is the unique provider identifier assigned to Peter Pham?
The Peter Pham has been issued the NPI (National Provider Identifier) 1114084597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Peter Pham is physically located?
The Peter Pham is situated at the following address: 1257 Brockton Ave Unit 101, Los Angeles, CA 900257724.
What is Peter Pham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter Pham is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Peter Pham receive the assignment of its 1114084597 from the Centers for Medicare & Medicaid Services?
The Peter Pham was issued its 1114084597 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the Peter Pham's details last updated?
The information pertaining to the Peter Pham, including its address, specialty, and other details, was most recently updated on 2009-02-03.
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