Individual provider · Type 1 NPI
Phuoc Ngoc Pham
Psychiatric/Mental Health Registered Nurse · San Jose, CA
NPI number
1376175430
Active
Practice location
2001 The Alameda
San Jose, CA 95126-1136
Fax (408) 259-2273
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 697311 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95237355 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1376175430
Phuoc Ngoc Pham's National Provider Identifier is 1376175430, issued on Feb 6, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in San Jose, CA. The record was last updated on Jul 11, 2025.