# TIMOTHY A PHAM, M.D., A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073626776
- **Authorized official:** DR. TIMOTHY ANH PHAM M.D. (PRESIDENT)
- **Authorized official phone:** (626) 461-0360

## Contact information

- **Practice address:** 301 W HUNTINGTON DR, 206, ARCADIA, CA 91007-3462
- **Practice address phone:** (626) 461-0360
- **Practice address fax:** (626) 461-0371
- **Mailing address:** 301 W HUNTINGTON DR, 206, ARCADIA, CA 91007-3462
- **Mailing address phone:** (626) 461-0360
- **Mailing address fax:** (626) 461-0371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G77052 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 10/10/2007