# BENJAMIN V PHAM

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

## Provider details

- **NPI number:** 1235396078
- **Authorized official:** DR. BENJAMIN VAN PHAM DPM (OWNER)
- **Authorized official phone:** (650) 324-8393

## Contact information

- **Practice address:** 685 TWELVE BRIDGES DR STE F, LINCOLN, CA 95648-8689
- **Practice address phone:** (916) 408-5580
- **Practice address fax:** (916) 408-7297
- **Mailing address:** 681 OAK GROVE AVE STE F, MENLO PARK, CA 94025-4333
- **Mailing address phone:** (650) 324-8393
- **Mailing address fax:** (916) 408-7297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E4060 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008