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Organization
TRIET VAN PHAM, M.D., INC.
Active
Organization
TRIET VAN PHAM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRIET VAN PHAM M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
9920 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(800) 883-7243
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A36149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A361491
—
CA
Enumeration date
09/28/2006
Last updated
12/29/2007
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