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NPI Code Detail

MEDICARE: TORI PHAM

MEDICARE: TORI PHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystCA
2247200000XOther Technician

General Provider Information

NPI Number : 1376003822
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORI PHAM
Provider Business Mailing Address
First Line : 3424 MOTOR AVE # 101
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-4710
Country : US
Telephone Number : 424-672-6700
Fax Number :
Provider Business Practice Location Address
First Line : 3280 MOTOR AVE STE 110
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3766
Country : US
Telephone Number : 424-672-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 10/03/2025

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Directions to “ TORI PHAM ” Practice Location

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