Andrew Phou

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-7806 Issued in CA

Practice address

12399 Lewis St Ste 202
Garden Grove, CA 92840-4697

Phone

(714) 750-0575

Fax

(714) 750-0160

NPI assigned

Sep 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1205354941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12399 LEWIS ST STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404697",
            "telephone_number": "714-750-0575",
            "fax_number": "714-750-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOU",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-17-7806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phil Trinh, DDS.,Inc
• Carmen Sabri Philip
• Patricia Phillips
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• Teve Thongvanh Phommavongsa
• Phu Van Dang, MD & Pauline Suong Thi Dang, MD, a Prof Medical Corp
• Jennie Soi Phui, RDHAP
• Y Phun, MS
• Anh-Thu Thi Phung, M.D.
• Anne Marie Phung

• Assistant Behavior Analyst in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.