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Individual
TAN N. PHAM
Active
Individual
TAN N. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A67089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342959
PHCS
CA
05
—
00A670890
—
CA
01
—
074647
HEALTH NET
CA
01
—
1542514
GREAT WEST
CA
01
—
1721168
FIRST HEALTH
CA
01
—
1919397
UNITED HEALTHCARE
CA
01
—
2262768
FIRST HEALTH
CA
01
—
248487
INTERPLAN
CA
01
—
6974054
CIGNA
CA
01
—
7703129
AETNA
CA
01
—
90115666
PACIFICARE
CA
01
—
A67089
BLUE CROSS
CA
01
—
MCMG125700
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
08/19/2006
Last updated
12/15/2021
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