MR. Phokham Mike Sourivanh PA-C

  • NPI 1972022762
According to our database, the NPI number for MR. Phokham Mike Sourivanh PA-C is 1972022762 and activated since 6 years ago. MR. Phokham Mike Sourivanh PA-C is an individual provider who specializes in Military Health Care Provider, and the primary practice location is 34800 Bob Wilson Dr, San Diego, CA 92134. You can also contact MR. Phokham Mike Sourivanh PA-C via telephone number is (619) 532-6400. Provider NPI information was last updated on 02/27/2019.

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Overview of MR. Phokham Mike Sourivanh PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/13/2017
  • Last updated: 02/27/2019

Primary Scrop of Practice

  • Taxonomy Code: 171000000X
  • Specialty: Military Health Care Provider
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Camp Pendleton
    Apo, AP 92055
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 34800 Bob Wilson Dr
    San Diego, CA 92134
  • Phone: 619-532-6400
  • Fax:

Scope of Practice

  • Taxonomy Code: 171000000X
  • Specialty: Military Health Care Provider
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Phokham Mike Sourivanh PA-C?
  • A: The npi number for MR. Phokham Mike Sourivanh PA-C is 1972022762.
  • Q: What are MR. Phokham Mike Sourivanh PA-C's specialties?
  • A: MR. Phokham Mike Sourivanh PA-C's specialties are Military Health Care Provider and different specialities.
  • Q: What is the medical license for MR. Phokham Mike Sourivanh PA-C?
  • A: The medical license number for MR. Phokham Mike Sourivanh PA-C is unknow and issued in unknow in USA.
  • Q: Where is MR. Phokham Mike Sourivanh PA-C practice location?
  • A: MR. Phokham Mike Sourivanh PA-C is practicing at 34800 Bob Wilson Dr, San Diego, CA 92134.
  • Q: How to contact MR. Phokham Mike Sourivanh PA-C?
  • A: You can contact MR. Phokham Mike Sourivanh PA-C via 619-532-6400.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.