Healthcare Provider Details

I. General information

NPI: 1912899303
Provider Name (Legal Business Name): THUY PHAM RDHAP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14501 MAGNOLIA ST STE 107
WESTMINSTER CA
92683-1307
US

IV. Provider business mailing address

14501 MAGNOLIA ST STE 107
WESTMINSTER CA
92683-1307
US

V. Phone/Fax

Practice location:
  • Phone: 714-472-4041
  • Fax:
Mailing address:
  • Phone: 714-472-4041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: CHI LE
Title or Position: OFFICE MANAGER
Credential:
Phone: 714-472-4041