Individual
DR. BENJAMIN VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
685 TWELVE BRIDGES DR STE F, LINCOLN, CA 95648-8689
(916) 408-5580
(916) 408-7297
Mailing address
PO BOX 1378, MENLO PARK, CA 94026-1378
(916) 408-5580
(916) 408-7297
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480035043
RAILROAD
CA
Enumeration date
12/06/2006
Last updated
05/15/2008
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