Phoutthaaphai Bobby Dimanh

Address: 590 Oak Park Dr, San Francisco, CA 94131-1029
Phone: 2148783222

Phoutthaaphai Bobby Dimanh (NPI# 1417594508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1417594508
Entity Type Individual
Full Name Phoutthaaphai Bobby Dimanh
Credential PHARMD
Gender Male
Practice Address 590 Oak Park Dr
San Francisco
CA 94131-1029
Practice Telephone 2148783222
Mailing Address 590 Oak Park Dr
San Francisco
CA 94131-1029
Mailing Telephone 2148783222
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-12-08
Last Update Date 2019-12-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 183500000X Pharmacist Pharmacy Service Providers RPH81231 CA

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

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Office Location

Street Address 590 OAK PARK DR
State CA
Zip Code 94131-1029

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851930689 Lynda Mcpherson Massage Therapist 30 Monterey Blvd., San Francisco, CA 94131 2019-12-26
1538695473 Kylie E Rowe Physical Therapist 94 Sussex St, San Francisco, CA 94131 2017-05-11
1609269471 Kristen Lauters Behavior Analyst 36 A Monterey Blvd, San Francisco, CA 94131 2015-03-18
1780076448 Michael Smith Pediatrics Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 2015-03-04
1205254919 Sean Kleiman Behavior Analyst 1 Crestline Dr., Unit 1, San Francisco, CA 94131 2014-03-31
1508137167 Aaron Nystedt Behavior Analyst 36 Monterey Blvd, Suite A, San Francisco, CA 94131 2012-01-13
1841578127 Amy Lynn Litvin Registered Nurse 225 30th St - On Lok Lifeways, 2nd Floor, San Francisco, CA 94131 2011-08-03
1104111020 Margarite Leah Morch Marriage & Family Therapist 18 Whitney Street, San Francisco, CA 94131 2011-06-20
1063744845 Integrated Pain Care Preferred Provider Organization 2 Mercato Court, San Francisco, CA 94131 2010-02-04
1760715031 Natalie Dominiques Rodrigues Massage Therapist 605 Chenery St., Suite C., San Francisco, CA 94131 2009-09-17
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Zip Code 94131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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