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CUNG BRYAN PHAM M.D., NPI 1790787802

Family Medicine in SAN FRANCISCO, CA

Last Updated on : Jun 10,2021

About CUNG BRYAN PHAM (NPI 1790787802)


CUNG BRYAN PHAM is a Family Medicine provider in SAN FRANCISCO, United States. His medical specialization is Family Medicine .

1790787802 is NPI number of CUNG BRYAN PHAM.

CUNG BRYAN PHAM's primary taxonomy code based on NPI Lookup is 207Q00000X with license number A81143. This taxonomy code refers to Family Medicine.

CUNG BRYAN PHAM has more than 16 years of experience.

CUNG BRYAN PHAM current practice location address is 650 5TH ST STE 405, SAN FRANCISCO, CA. CUNG BRYAN PHAM can be reached out via phone at 888-713-5540 and via fax at 415-231-5332 .

You can also correspond with CUNG BRYAN PHAM through mail at mailing address 517 SUSANA AVE, REDONDO BEACH, CA, United States. Mailing address contact number is 310-956-5409.

The enumeration date of CUNG BRYAN PHAM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1790787802 NPI Information

Name CUNG BRYAN PHAM
National Provider Id (NPI) 1790787802
Entity Type Individual
Gender M
Credential M.D.
Practice Address 650 5TH ST STE 405,
SAN FRANCISCO, CA, United States
Practice Telephone 888-713-5540
Practice Fax Number 415-231-5332
Mailing Address 517 SUSANA AVE ,
REDONDO BEACH, CA, United States
Mailing Telephone 310-956-5409
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 10-Jun-2021

CUNG BRYAN PHAM (NPI 1790787802) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine A81143 CA

CUNG BRYAN PHAM (NPI 1790787802) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207Q00000X Family Medicine 227004 MA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00A811430 MEDICAID (05) CA
I23011 MEDICARE UPIN (02) CA
WA81143A MEDICARE ID-Type Unspecified (04) CA

CUNG BRYAN PHAM (NPI 1790787802) Office Location

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1043374770 JULIAN LESSING PHILIPP Marriage & Family Therapist 1309 EVANS,
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1942366075 MARJORIE JEAN RILEY Counselor, Professional 18 DON GABRIEL WAY,
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1124185269 PETER P CHIU Dentist, General Practice 1200 IRVING ST STE 207,
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1467519504 CARRIE H JACOBSON Advanced Practice Midwife 253 THERESA ST,
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1952547523 SAMUEL H CHIU Dentist 6050 GEARY BLVD STE 201,
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1053641720 MANNING MICHAEL THALER Pediatrics 35 CASTENADA AVE,
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1811318256 JACQUELINE PERALTA VILLAREAL Pharmacist 2494 SAN BRUNO AVE,
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1457719619 HUIYI TANG Behavior Analyst 1235 HOLLISTER AVE,
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1467818724 JANELLE BUCCAT Occupational Therapist 425 DIVISADERO ST, SUITE 300
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1538604442 MADHAVI DUVVURI Student in an Organized Health Care Education/Training Program 513 PARNASSUS AVE # S321,
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1487126454 SAMUEL DAVID CASTILLO Respiratory Therapist, Registered, Critical Care 3600 BROADWAY,
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FAQs

Whose NPI Number is 1790787802?

1790787802 is the NPI number of CUNG BRYAN PHAM.

What is the specialty for CUNG BRYAN PHAM?

The Specialty of CUNG BRYAN PHAM is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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