PHAC VAN VO (NPI# 1205913654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205913654 |
| Entity Type | Individual |
| Full Name | PHAC VAN VO |
| Credential | MD |
| Practice Address |
611 East Anaheim Street Long Beach CA 90813 |
| Practice Telephone | 5625918982 |
| Practice Fax Number | 5625918180 |
| Mailing Telephone | 5625918982 |
| Mailing Fax Number | 5625918180 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A43290 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A432900 | 05 |
| Street Address |
611 EAST ANAHEIM STREET |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460557 | Rosannara Chhun | General Practice | 1701 Cherry Ave, Long Beach, CA 90813-2519 | 2018-06-13 |
| 1447667357 | Right Choice Primary Care Walk-in Medical Office | General Practice | 303 E. Park Avenue Suite E, Long Beach, NY 11561 | 2014-07-14 |
| 1164740411 | Russell D. Miller | General Practice | 7160 Seawind Dr, Long Beach, CA 90803-4316 | 2010-05-12 |
| 1992935639 | Port Medical Associate Inc | General Practice | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | 2009-07-15 |
| 1194967646 | George Louis Leonard | General Practice | 26 Scott Station Cv, Long Beach, MS 39560-3613 | 2009-03-30 |
| 1730333675 | Sylvia Waguih Hanna | General Practice | 500 W. Willow Street, Long Beach, CA 90806 | 2008-11-05 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1952583569 | Kailash Dhamija Walk In Medical Care A Medical Corporation | General Practice | 3760 Atlantic Ave # A, Long Beach, CA 90807-3409 | 2007-12-05 |
| 1447389085 | Robert Sheldon Pallas | General Practice | 1138 Palo Verde Ave, Long Beach, CA 90815-4664 | 2007-03-02 |
| 1063571834 | Adrienne Ann Grant | General Practice | 1777 N Bellflower Blvd Ste 107, Long Beach, CA 90815-4019 | 2006-12-08 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on PHAC VAN VO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.