Individual
THONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9855 ERMA RD STE 133, SAN DIEGO, CA 92131-1092
(858) 343-4572
Mailing address
9855 ERMA RD STE 133, SAN DIEGO, CA 92131-1092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95244483
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030195
CA
Other
Enumeration date
02/18/2021
Last updated
03/12/2026
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