Diane Pham, is a
Student In An Organized Health Care Education/training Program based in Moreno Valley, California. Diane Pham is licensed to practice in * (Not Available) (license number ) and her current practice location is
12810 Heacock St Ste B202, Moreno Valley, California. She can be reached at her office (for appointments etc.) via phone at
(951) 247-6542.
NPI number for Diane Pham is 1194525493 and her current mailing address is 9800 Newville Ave, Downey, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194525493.
Healthcare Provider's Profile
| Full Name | Diane Pham |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 12810 Heacock St Ste B202, Moreno Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194525493
- Provider Enumeration Date: 03/17/2025
- Last Update Date: 06/18/2026
Medical Identifiers
Medical identifiers for Diane Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194525493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Pham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Diane Pham, 9800 Newville Ave, Downey, CA 90240-3530 Ph: () - | Diane Pham, 12810 Heacock St Ste B202, Moreno Valley, CA 92553-2873 Ph: (951) 247-6542 |
Reviews and Comments