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NPI Code Detail

MEDICARE: VY LE NHAT PHAM

MEDICARE: VY LE NHAT 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
1122300000XDentist111710CA

General Provider Information

NPI Number : 1023713583
Entity Type Code : Individual
Provider Name (Legal Business Name) : VY LE NHAT PHAM
Provider Business Mailing Address
First Line : 2901 INDIANA BLVD APT 147
Second Line :
City : DALLAS
State : TX
Zip : 75226-1524
Country : US
Telephone Number : 832-387-1896
Fax Number :
Provider Business Practice Location Address
First Line : 2800 LINCOLN ST
Second Line :
City : OROVILLE
State : CA
Zip : 95966-5961
Country : US
Telephone Number : 530-534-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 03/05/2026

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Directions to “ VY LE NHAT PHAM ” Practice Location

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