KIMBERLY N. PHAM (NPI# 1265078042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265078042 |
| Entity Type | Individual |
| Full Name | KIMBERLY N. PHAM |
| Credential | DMD |
| Practice Address |
5830 Bellflower Blvd Lakewood CA 90713-1058 |
| Mailing Address |
2650 Skyline Dr Signal Hill CA 90755-3823 |
| Practice Telephone | 5624618080 |
| Mailing Telephone | 5624896434 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
50671 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700234911 | Kimberly Pham | Speech-Language Pathologist | 12371 Lewis St, #202, Garden Grove, CA 92840-4678 | 2016-05-27 |
| 1174735062 | Kimberly Nguyen Pham | Dentist | 2379 N. Oxnard Blvd, Oxnard, CA 93030 | 2007-05-04 |
| 1710039011 | Kimberly L. Pham | Dentist | 3420 Ne Loop 286, Paris, TX 75460-5003 | 2007-01-17 |
| 1477164614 | Kimberly Tuong Vi Pham | Pharmacist | 2400 Avenue I, Huntsville, TX 77340-5830 | 2020-08-12 |
| 1396365920 | Kimberly Pham | Dentist | 11001 Fondren Rd, Houston, TX 77096-5594 | 2020-04-23 |
| 1669001087 | Kimberly Linh Pham | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-07 |
| 1396374260 | Kimberly Thanh Pham | Student in an Organized Health Care Education/Training Program | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-04-03 |
| 1134757453 | Kimberly Pham | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-03-31 |
| 1578126025 | Kimberly Pham | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-04-19 |
| 1780157420 | Kimberly Pham | Optometrist | 6332 E Spring St, Long Beach, CA 90815-1424 | 2019-01-04 |
| Street Address |
5830 BELLFLOWER BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1013176130 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 E Del Amo Blvd, Lakewood, CA 90713 | 2008-06-04 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1255979803 | Kimie Anne Acacio | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1164060711 | Stephanie Lee | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1144866161 | Anna Gevorgyan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| Find all providers in zip 90713 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871670430 | Sean L Wittmer | Dentist | 10904 Gravelly Lake Dr Sw, Lakewood, WA 98499-1330 | 2006-11-01 |
| 1801990858 | Robert Teitelbaum | Dentist | 6565 W Jewell Ave Ste 2, Lakewood, CO 80232-7102 | 2006-09-11 |
| 1184986184 | Chad Malcolm Reader | Dentist | 255 Union Blvd, Suite 420, Lakewood, CO 80208-1852 | 2012-06-14 |
| 1134359193 | Kevin H Andrus | Dentist | 6565 W Jewell Ave Ste 2, Lakewood, CO 80232-7102 | 2009-07-23 |
| 1154598415 | Rohit Batheja | Dentist | 5555 Del Amo Blvd, Lakewood, CA 90713-2307 | 2008-05-14 |
| 1871700062 | James Edgar Miller IIi | Dentist | 2290 Kipling St, Unit 2, Lakewood, CO 80215-1578 | 2007-05-17 |
| 1073727681 | Hemant Kapadia | Dentist | 5555 Del Amo Blvd, Lakewood, CA 90713-2307 | 2007-05-10 |
| 1265652036 | Scott H Horsley | Dentist | 2290 Kipling St, Unit 2, Lakewood, CO 80215-1578 | 2007-04-26 |
| 1790900728 | Westwood Dental Group PC | Dentist | 3190 S Wadsworth Blvd, Suite 300, Lakewood, CO 80227-4899 | 2007-04-16 |
| 1790897569 | Michael Brian Mckee | Dentist | 550 S Wadsworth Blvd, Ste. 160, Lakewood, CO 80226-3111 | 2006-08-31 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.