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Individual

DAVID PHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
191 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4556
(925) 282-1778
Mailing address
191 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4556
(925) 282-1778

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95066269
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029043
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
N/A
Enumeration date
10/25/2022
Last updated
01/20/2026
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