# MR. HUAN PHU PHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649995937
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102X00000X | Poetry Therapist | — | NULL | — |
| 1710I1003X | Independent Duty Medical Technicians | — | NULL | — |
| 171WH0202X | Home Modifications Contractor | — | NULL | — |
| 174400000X | Specialist | — | NULL | — |
| 1744R1103X | Research Study Abstracter/Coder | — | NULL | Yes |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 331L00000X | Blood Bank | — | NULL | — |
| 342000000X | Transportation Network Company | — | NULL | — |
| 344800000X | Air Carrier | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 347D00000X | Train | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2022
- **Last updated:** 10/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 93638370A18274 | — | CA |