Active NPIIndividual providerSole proprietor

Phala Hoeun, CPO

Prosthetic/Orthotic Supplier in Bronx, New York

NPI Number1417523424
Practice location
130 W Kingsbridge RD Dept 3E-15, Bronx, NY 10468-3904
Fax
—
Last updated
June 1, 2021

Phala Hoeun is a Prosthetic/Orthotic Supplier based in Bronx, NY. Phala Hoeun practices in Bronx, NY and has the professional credentials of CPO. The NPI Number for Phala Hoeun is 1417523424 and holds a License No. CPO03567 (DE). The current practice location address for Phala Hoeun is 130 W Kingsbridge RD Dept 3E-15, Bronx, NY 10468-3904 and can be reached out via phone at 718-584-9000.

Provider Profile Details

NPI Number
1417523424
Provider Name
Phala Hoeun
Credential
CPO
Provider Entity Type
Individual
Gender
Female
Address
130 W Kingsbridge RD Dept 3E-15, Bronx, NY 10468-3904
Phone Number
718-584-9000
Primary Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2021
Last Update Date
June 1, 2021
Certification Date
June 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 W Kingsbridge RD Dept 3E-15
Bronx, NY 10468-3904
City
Bronx
Zip
10468-3904
Phone Number
718-584-9000
Bronx, NY 10468Get directions →

Provider Business Mailing Address Details

Address
8240 Austin St Apt 2K
Kew Gardens, NY 11415-1416
City
Kew Gardens
State
NY
Zip
11415-1416

License Information

License Number
CPO03567
License State
DE
Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Phala Hoeun, CPO?

The NPI number of Phala Hoeun, CPO is 1417523424. It was assigned on June 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Phala Hoeun, CPO?

Phala Hoeun, CPO is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X), licensed in DE under license number CPO03567.

Where does Phala Hoeun, CPO practice?

The practice location is 130 W Kingsbridge RD Dept 3E-15, Bronx, NY 10468-3904. The office can be reached at 718-584-9000 (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 1417523424 directly on the NPPES registry website.

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