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NPI Code Detail

MEDICARE: CAO VAN PHAM MD

MEDICARE:   CAO VAN PHAM  MD
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
1207RC0000XCardiovascular Disease PhysicianG32951CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225095631
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAO VAN PHAM MD
Provider Business Mailing Address
First Line : 17742 BEACH BLVD
Second Line : SUITE #230
City : HUNTINGTON BEACH
State : CA
Zip : 92647-6835
Country : US
Telephone Number : 714-848-0032
Fax Number : 714-847-4442
Provider Business Practice Location Address
First Line : 17742 BEACH BLVD
Second Line : SUITE #230
City : HUNTINGTON BEACH
State : CA
Zip : 92647-6835
Country : US
Telephone Number : 714-848-0032
Fax Number : 714-847-4442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 02/04/2010

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Directions to “ CAO VAN PHAM MD” Practice Location

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