Individual
PHUC HONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 N EDGEMONT ST BSMT, LOS ANGELES, CA 90027-5209
(323) 783-8985
Mailing address
1505 N EDGEMONT ST BSMT, LOS ANGELES, CA 90027-5209
(323) 783-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A101589
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2007
Last updated
12/21/2021
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