Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick Anh Vo Pham, DENTALSTUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023632676

Derrick Anh Vo Pham, DENTALSTUDENT is a Student in an Organized Health Care Education/Training Program in Oceanside, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Oceanside, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 714 Tiverton Ave, Los Angeles, CA 90095-8361 — (310) 825-9789
  • Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 — (760) 725-3213

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 106380 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1023632676
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTALSTUDENT
Sole proprietorNo
NPI enumeratedMay 29, 2020
Last updated in NPPESAugust 30, 2021
Certification dateAugust 11, 2021

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