Individual
DR. KEVIN THANG DINH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10050 GARVEY AVE STE 111, EL MONTE, CA 91733-2089
(626) 652-0790
(626) 652-0799
Mailing address
2019 SATURN ST, MONTEREY PARK, CA 91755-7415
(323) 724-0019
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154718021
—
CA
Enumeration date
04/18/2015
Last updated
09/16/2024
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