Individual
DR. BANG VU PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12923 INGLEWOOD AVE STE 1, HAWTHORNE, CA 90250-5139
(310) 675-0395
(310) 675-0917
Mailing address
12923 INGLEWOOD AVE STE 1, HAWTHORNE, CA 90250-5139
(310) 675-0395
(310) 675-0917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A41407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A414070
—
CA
Enumeration date
07/26/2006
Last updated
07/08/2007
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