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Individual
MINH THANH PHAM
Active
Individual
MINH THANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A69661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A696610
CALOPTIMA
CA
05
—
00A696610
—
CA
01
—
050126CH18382
VALLEY PRES TRAILBLAZER
CA
01
—
A69661
BLUE CROSS
CA
Enumeration date
06/02/2006
Last updated
08/05/2008
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