| Bolsa Medical Group | |
|
10362 Bolsa Ave Westminster CA 92683-6763 | |
| (714) 531-2091 | |
| (714) 531-1403 |
| Full Name | Bolsa Medical Group |
|---|---|
| Speciality | Surgery |
| Location | 10362 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Co D C Pham (PRESIDENT) |
| Authorized Official Contact | 7145312091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolsa Medical Group 10362 Bolsa Ave Westminster CA 92683-6763 Ph: (714) 531-2091 | Bolsa Medical Group 10362 Bolsa Ave Westminster CA 92683-6763 Ph: (714) 531-2091 |
| NPI Number | 1992732192 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769458264 |
|---|---|
| Medicare Enrollment ID | O20040907000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992732192 | NPI | - | NPPES |
| GR0061390 | Medicaid | CA |
| Provider Name | Co D.l. Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558392159 PECOS PAC ID: 5890761274 Enrollment ID: I20040907001365 |
| Provider Name | Tuan V Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396799672 PECOS PAC ID: 1759357015 Enrollment ID: I20040908000659 |
| Provider Name | Hung H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619921095 PECOS PAC ID: 0244206514 Enrollment ID: I20040908000705 |
| Provider Name | Tu Song Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740217942 PECOS PAC ID: 8224004502 Enrollment ID: I20040908000807 |
| Provider Name | Christine T Hoang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770537144 PECOS PAC ID: 9638145923 Enrollment ID: I20040908000862 |
| Provider Name | Thao N Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831126036 PECOS PAC ID: 0143296442 Enrollment ID: I20040908000903 |
| Provider Name | Minh Q Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316974561 PECOS PAC ID: 3375519515 Enrollment ID: I20040908001275 |
| Provider Name | Dzu Q Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821025032 PECOS PAC ID: 1850367095 Enrollment ID: I20040908001312 |
| Provider Name | Thuy Tl Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619990587 PECOS PAC ID: 0345216529 Enrollment ID: I20040908001577 |
| Provider Name | Kychuong Van |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942237144 PECOS PAC ID: 2860468055 Enrollment ID: I20040908001608 |
| Provider Name | Dat Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720092315 PECOS PAC ID: 0143254920 Enrollment ID: I20050921000526 |
| Provider Name | Diane T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225065428 PECOS PAC ID: 7214904663 Enrollment ID: I20051207000946 |
| Provider Name | Tony H Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194949818 PECOS PAC ID: 9739252784 Enrollment ID: I20080723000837 |
| Provider Name | Aaron K Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841453032 PECOS PAC ID: 3577732437 Enrollment ID: I20110810000128 |
| Provider Name | Phi T Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598742413 PECOS PAC ID: 9739109653 Enrollment ID: I20140523001745 |
| Provider Name | Huy D Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992148530 PECOS PAC ID: 0547486169 Enrollment ID: I20161206001498 |
| Provider Name | Trung Huu Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669567541 PECOS PAC ID: 1759383136 Enrollment ID: I20200327002606 |
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