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Organization
BANG VU PHAM M D PROFESSIONAL
Active
Organization
BANG VU PHAM M D PROFESSIONAL
Active
Other names
ST.PAUL MEDICAL CENTER OF THE S. BAY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLLY V. PHAM MBA (VICE-PRESIDENT-COO)
(310) 675-0395
Entity
Organization
Contact information
Practice address
12923 INGLEWOOD AVE STE 1, HAWTHORNE, CA 90250
(310) 675-0395
(310) 675-0497
Mailing address
12923 INGLEWOOD AVE STE 1, HAWTHORNE, CA 90250-5139
(310) 675-0395
(310) 675-0497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0044320
—
CA
Enumeration date
08/13/2006
Last updated
07/06/2018
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