| Healing Partners, Licensed Clinical Social Worker Apc | |
|
20 Corporate Park Ste 220 Irvine CA 92606-3111 | |
| (949) 345-0559 | |
| Not Available |
| Full Name | Healing Partners, Licensed Clinical Social Worker Apc |
|---|---|
| Speciality | Social Worker |
| Location | 20 Corporate Park Ste 220, Irvine, California |
| Authorized Official Name and Position | Quynh Chi Mai Pham (LICENSED CLINICAL SOCIAL WORKER/CEO) |
| Authorized Official Contact | 7147259583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Partners, Licensed Clinical Social Worker Apc 12082 Firebrand St Garden Grove CA 92840-4101 Ph: (714) 725-9583 | Healing Partners, Licensed Clinical Social Worker Apc 20 Corporate Park Ste 220 Irvine CA 92606-3111 Ph: (949) 345-0559 |
| NPI Number | 1578214276 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 7315329232 |
|---|---|
| Medicare Enrollment ID | O20220809000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578214276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Quynh-chi Mai Pham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982008314 PECOS PAC ID: 8224410147 Enrollment ID: I20220809000982 |
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