Individual
LONG NGOC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 N ROBERTSON BLVD STE 603, BEVERLY HILLS, CA 90211-1793
(310) 385-3357
Mailing address
1000 W. CARSON, TORRANCE, CA 90509
(310) 222-2911
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A144443
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2015
Last updated
07/28/2020
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