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Zack Pham
NPI 1780952598 · on the registry since 2011 · sole proprietor
Practice
- Address
- 12322 Clearglen Ave
Whittier, CA 90604 - Phone
- (562) 242-1076
- Fax
- (562) 947-4053
- Organisation at this address
- Scadp/Awakenings
Southern California Alcohol And Drug Programs, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Substance Abuse Rehabilitation Facility
324500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California