Individual
CAO VAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17742 BEACH BLVD, SUITE #230, HUNTINGTON BEACH, CA 92647-6835
(714) 848-0032
(714) 847-4442
Mailing address
17742 BEACH BLVD, SUITE #230, HUNTINGTON BEACH, CA 92647-6835
(714) 848-0032
(714) 847-4442
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G32951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G329510
—
CA
Enumeration date
04/28/2006
Last updated
02/04/2010
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