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Physician Compare National (NPI:1700089935)

HEALTHCARE PROVIDER: VICTORIA DAO PHAM DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1700089935
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1850491077
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070717000227
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PHAM
Individual professional last name
Provider First Name VICTORIA
Individual professional first name
Provider Middle Name D
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name IN-HOME DOCTORS INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0547455156
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 17195 NEWHOPE ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 107
Group Practice or individual's line 2 address
City FOUNTAIN VALLEY
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 927084211
Group Practice or individual's zip code (9 digits when available)
Phone Number 7144442414
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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