PHALLA OUK (NPI# 1912395906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912395906 |
Entity Type | Individual |
Full Name | PHALLA OUK |
Credential | RN |
Practice Address |
2215 Lydia Bradley St Stockton CA 95206-6135 |
Practice Telephone | 2094233952 |
Mailing Telephone | 2094233952 |
Enumeration Date | 2014-12-29 |
Last Update Date | 2014-12-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
719534 | CA | Nursing Service Providers |
Street Address |
2215 LYDIA BRADLEY ST |
City | STOCKTON |
State | CA |
Zip Code | 95206-6135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
Find all providers in zip 95206 |
Taxonomy Code | 163WI0500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Infusion Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467019141 | Cheryl Ann Burnett | Registered Nurse | 5601 De Soto Ave Rm 420, Woodland Hills, CA 91367-6798 | 2019-05-28 |
1013402163 | Lab Prc LLC | Registered Nurse | 27901 Jefferson Ave Ste 101, Temecula, CA 92590-6613 | 2018-06-29 |
1861908022 | Jill Bright | Registered Nurse | 2160 Burlwood Dr, Hollister, CA 95023-7547 | 2017-12-22 |
1184135402 | Diana Panitz | Registered Nurse | 13027 Hadley St, Whittier, CA 90601-4206 | 2017-10-12 |
1457800112 | Pamela S Cornell | Registered Nurse | 18268 Pine Bark Ln, Mokelumne Hill, CA 95245-9654 | 2016-09-22 |
1649629205 | Michelle Annette Gorman | Registered Nurse | 2981 Sandstone St, Turlock, CA 95382-7387 | 2016-06-05 |
1184095119 | Therese Villanueva | Registered Nurse | 27281 Golden Willow Way, Santa Clarita, CA 91387-2400 | 2015-10-16 |
1184012072 | Reynaldo M Sy | Registered Nurse | 35080 Chandler Ave Spc 68, Calimesa, CA 92320-1928 | 2014-12-31 |
1518365329 | Deborah Dowlatabadi | Registered Nurse | 1791 Dalton Pl, San Jose, CA 95124-5702 | 2014-12-10 |
1922405091 | Monna Armstrong | Registered Nurse | 87 St. Charles Ave., San Andreas, CA 95249-1496 | 2014-12-04 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PHALLA OUK.
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.