Active NPIIndividual provider

Derick Pham

Dentist in Bell Gardens, California

NPI Number1093247074
Practice location
6840 Eastern Ave Ste A, Bell Gardens, CA 90201-3902
Fax
—
Last updated
May 21, 2019

Derick Pham is a Dentist based in Bell Gardens, CA. Derick Pham practices in Bell Gardens, CA. The NPI Number for Derick Pham is 1093247074 and holds a License No. 103577 (CA). The current practice location address for Derick Pham is 6840 Eastern Ave Ste A, Bell Gardens, CA 90201-3902 and can be reached out via phone at 323-513-0842.

Provider Profile Details

NPI Number
1093247074
Provider Name
Derick Pham
Provider Entity Type
Individual
Gender
Male
Address
6840 Eastern Ave Ste A, Bell Gardens, CA 90201-3902
Phone Number
323-513-0842
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2017
Last Update Date
May 21, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
6840 Eastern Ave Ste A
Bell Gardens, CA 90201-3902
Zip
90201-3902
Phone Number
323-513-0842
Bell Gardens, CA 90201Get directions →

Provider Business Mailing Address Details

Address
1023 Maple Ave
Hartford, CT 06114-2733
City
Hartford
State
CT
Zip
06114-2733
Phone Number
714-457-0064

License Information

License Number
103577
License State
CA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentists near Bell Gardens, CA

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Frequently Asked Questions

What is the NPI number of Derick Pham?

The NPI number of Derick Pham is 1093247074. It was assigned on March 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Derick Pham?

Derick Pham is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 103577.

Where does Derick Pham practice?

The practice location is 6840 Eastern Ave Ste A, Bell Gardens, CA 90201-3902. The office can be reached at 323-513-0842 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093247074 directly on the NPPES registry website.

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