Individual provider · Type 1 NPI

Kevin Pham

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1720780927 Active

Practice location

1411 East 31st St, A2 Wing
Oakland, CA 94602

Mailing address

1411 East 31st Street, A2 Wing
Oakland, CA 94602

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1720780927

Kevin Pham's National Provider Identifier is 1720780927, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Mar 20, 2023.