Individual
AN T PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 INTERNATIONAL BLVD STE 102, OAKLAND, CA 94606-2993
(510) 208-3540
(510) 208-3553
Mailing address
600 INTERNATIONAL BLVD STE 102, OAKLAND, CA 94606-2993
(510) 208-3540
(510) 208-3553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A67904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A679040
—
CA
Enumeration date
12/11/2006
Last updated
09/12/2007
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