Organization
PTN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THO NGOC PHAM (OWNER)
(714) 757-0468
Entity
Organization
Contact information
Practice address
17155 NEWHOPE ST STE P, FOUNTAIN VALLEY, CA 92708-4233
(714) 757-0468
Mailing address
17155 NEWHOPE ST STE P, FOUNTAIN VALLEY, CA 92708-4233
(714) 757-0468
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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