Khanh G Pham, MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KHANH G PHAM, MD INC

Practice address

9191 Bolsa Ave
Ste 205
Westminster, CA 92683-5561

Phone

(714) 891-7035

Fax

(714) 897-8304

NPI assigned

Mar 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khanh Gia Pham, MD

Title

Owner

Phone

(714) 891-7035

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1154591766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE",
            "address_2": "STE 205",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835561",
            "telephone_number": "714-891-7035",
            "fax_number": "714-897-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE",
            "address_2": "STE 205",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835561",
            "telephone_number": "714-891-7035",
            "fax_number": "714-897-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANH G PHAM, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "GIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-891-7035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A418050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.