Individual
JUSTIN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 696-5400
Mailing address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A177454
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2017
Last updated
08/09/2022
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