# D Q PHAM MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1770535841
- **Authorized official:** MR. DIEU QUY PHAM MD (PRESIDENT OF DQ PHAM MEDICAL CORPOR)
- **Authorized official phone:** (714) 534-6911

## Contact information

- **Practice address:** 14160 BROOKHURST ST, GARDEN GROVE, CA 92843-4657
- **Practice address phone:** (714) 534-6911
- **Practice address fax:** (714) 534-0852
- **Mailing address:** 14160 BROOKHURST ST, GARDEN GROVE, CA 92843-4657
- **Mailing address phone:** (714) 534-6911
- **Mailing address fax:** (714) 534-0852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A62320 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | A37427 | CA | — |
| 208D00000X | General Practice Physician | A37427 | CA | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0094890 | — | CA |