Individual provider · Type 1 NPI
Jacob Pham
Student in an Organized Health Care Education/Training Program · Tustin, CA
NPI number
1396657243
Active
Practice location
160 E Main St
Tustin, CA 92780-4408
Mailing address
19711 Vista Del Valle
Santa Ana, CA 92705-2278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
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About NPI 1396657243
Jacob Pham's National Provider Identifier is 1396657243, issued on Sep 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tustin, CA. The record was last updated on Sep 17, 2026.