# LUYEN PHAM DPM INC

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

## Provider details

- **NPI number:** 1679090591
- **Authorized official:** DR. LUYEN PHAM DPM (OWNER)
- **Authorized official phone:** (415) 794-9841

## Contact information

- **Practice address:** 81713 US HIGHWAY 111, INDIO, CA 92201-0721
- **Practice address phone:** (760) 342-2493
- **Practice address fax:** (760) 342-2549
- **Mailing address:** 18133 OLD TRAIL LN, FOUNTAIN VALLEY, CA 92708-6859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4677 | CA | Yes |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 09/11/2017