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Organization
T K LOAN PHAM MD INC
Active
Organization
T K LOAN PHAM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THI KIM LOAN PHAM MD (PRESIDENT/OWNER)
(760) 771-2626
Entity
Organization
Contact information
Practice address
79440 CORPORATE CENTRE DR., STE 117, LA QUINTA, CA 92253-7241
(760) 771-2626
(760) 771-2620
Mailing address
PO BOX 13550, PALM DESERT, CA 92255-3550
(760) 771-2626
(760) 771-2620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A60749
CA
Other
Enumeration date
12/22/2008
Last updated
04/01/2009
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