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Individual

ANH TUAN NGUYEN PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92354
(909) 558-4499
Mailing address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92354-2804

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A139226
CA
208000000X
Pediatrics Physician
A139226
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2014
Last updated
07/09/2018
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