Liza Marie Patawaran Pham
MD | Pediatrics | Female
Liza Marie Patawaran Pham, MD is a Modesto, California based Pediatric doctor with medical specialization in
General Pediatrics. Liza Marie Patawaran Pham is also known as
Liza Marie Patawaran Ylescupidez.
Current practice location of Liza Marie Patawaran Pham is
1114 6th St, Modesto, California - 95354-2203. She can be contacted on phone at
209-576-2845 and fax number 209-576-8842.
Liza Marie Patawaran Pham is a sole proprietor of her business.
NPI number (Unique professional ID) for Liza Marie Patawaran Pham is
1831395102 which was assigned by NPPES on 25 Jun, 2007 and it was last updated on 11 Jan, 2022.
Liza Marie Patawaran Pham license number is
A100406 for Pediatrics (208000000X) in California.
Liza Marie Patawaran Pham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Liza Marie Patawaran Pham basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Liza Marie Patawaran Pham |
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| Other Name : | Liza Marie Patawaran Ylescupidez |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Liza Marie Patawaran Pham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1114 6th St
Modesto, CA, 95354-2203
United States |
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| Phone Number : | 209-576-2845 |
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| Fax Number : | 209-576-8842 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831395102 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jun, 2007 |
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| Last Updated On : | 11 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Liza Marie Patawaran Pham are as mentioned. Primary taxonomy code for Liza Marie Patawaran Pham, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A100406 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Liza Marie Patawaran Pham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A100406 | Other | CA | MEDICAL LIC |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 4601 DALE RD,
MODESTO, CA, 95356-9718
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 737 W Childs Ave
Merced, CA, 95341-6805
United States |
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| Phone Number : | 209-383-1848 |
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| Fax Number : | 209-383-1296 |
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Business Location:
Patients can refer following map for directions to
Liza Marie Patawaran Pham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.