| Selflove Empowerment Institute, Inc | |
|
14331 Euclid St Ste 207 Garden Grove CA 92843-6509 | |
| (657) 321-9765 | |
| (229) 218-2667 |
| Full Name | Selflove Empowerment Institute, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14331 Euclid St Ste 207, Garden Grove, California |
| Authorized Official Name and Position | Loan Vu Minh Pham (FOUNDER) |
| Authorized Official Contact | 6573219765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selflove Empowerment Institute, Inc 16027 Brookhurst St Ste I-732 Fountain Valley CA 92708-1551 Ph: (657) 321-9765 | Selflove Empowerment Institute, Inc 14331 Euclid St Ste 207 Garden Grove CA 92843-6509 Ph: (657) 321-9765 |
| NPI Number | 1518749019 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 4486003993 |
|---|---|
| Medicare Enrollment ID | O20231208003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518749019 | NPI | - | NPPES |
| Provider Name | Loan Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053440065 PECOS PAC ID: 6002914553 Enrollment ID: I20070606000406 |
| Provider Name | Nari Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528751161 PECOS PAC ID: 4183069396 Enrollment ID: I20240227004723 |
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