THAO PHAM

Day Training/Habilitation Specialist

Active Individual
NPI: 1992589063

Practice Address

4760 SEPULVEDA BLVD
Culver City, CA 90230

Phone: (310) 390-6612

Specialties

Specialty Code Primary License
Day Training/Habilitation Specialist 373H00000X Yes -
Community Health Worker 172V00000X No -

Frequently Asked Questions

NPI 1992589063 is the National Provider Identifier for THAO PHAM, a Day Training/Habilitation Specialist provider located in Culver City, CA. This NPI was enumerated on August 21, 2023.
THAO PHAM practices at 4760 SEPULVEDA BLVD, Culver City, CA 90230.

Quick Facts

NPI
1992589063
Type
Individual
Enumerated
Aug 21, 2023
Last Updated
Sep 18, 2025

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