Individual ProviderGloria PhamSocial WorkerBehavioral Health & Social Service ProvidersPractice Address160 E Virginia St Ste 280, San Jose, CA 95112-5817(408) 918-2618PECOS EnrollmentBased on the most recent information from CMS, provider Gloria Pham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821640103Provider TypeIndividualFull NamePham, GloriaGenderFemaleSole ProprietorNoEnumeration Date7/16/2019Last Updated5/9/2023Contact InformationPractice LocationPractice Address160 E Virginia St Ste 280, San Jose, CA 95112-5817Phone(408) 918-2618FaxUnlisted FaxMailing LocationMailing Address160 E Virginia St Ste 280, San Jose, CA 95112-5817PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense92722CaliforniaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer