| Huong Pham Optometry Corporation | |
|
14251 Euclid St Ste F101 Garden Grove CA 92843-4957 | |
| (714) 265-2197 | |
| (714) 265-2411 |
| Full Name | Huong Pham Optometry Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 14251 Euclid St Ste F101, Garden Grove, California |
| Authorized Official Name and Position | Huong T Pham (CEO) |
| Authorized Official Contact | 7142652197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huong Pham Optometry Corporation 14251 Euclid St Ste F101 Garden Grove CA 92843-4957 Ph: (714) 265-2197 | Huong Pham Optometry Corporation 14251 Euclid St Ste F101 Garden Grove CA 92843-4957 Ph: (714) 265-2197 |
| NPI Number | 1043798994 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043798994 | NPI | - | NPPES |
| 10462T | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10462 (California) | Primary |
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