Vinh Pham, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

49638 Issued in CA

Legal business name

VINH PHAM, DDS, INC.

Practice address

11160 Warner Ave Ste 105
Fountain Valley, CA 92708-4010

Phone

(714) 979-0105

Fax

(714) 979-0126

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vinh Pham, DDS

Title

President

Phone

(714) 979-0105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1235310459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 105",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084010",
            "telephone_number": "714-979-0105",
            "fax_number": "714-979-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 105",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084010",
            "telephone_number": "714-979-0105",
            "fax_number": "714-979-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINH PHAM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-979-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.