# SELFLOVE EMPOWERMENT INSTITUTE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518749019
- **Authorized official:** LOAN VU MINH PHAM DNP (FOUNDER)
- **Authorized official phone:** (657) 321-9765

## Contact information

- **Practice address:** 950 W 17TH ST STE C, SANTA ANA, CA 92706-3556
- **Practice address phone:** (657) 321-9765
- **Practice address fax:** (229) 218-2667
- **Mailing address:** 16027 BROOKHURST ST STE I-732, FOUNTAIN VALLEY, CA 92708-1551
- **Mailing address phone:** (657) 321-9765
- **Mailing address fax:** (229) 218-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 04/03/2025