Individual
JONATHAN MINH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-4390
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15525
CA
208M00000X
Hospitalist Physician
Primary
20A15525
CA
Other
Enumeration date
04/17/2015
Last updated
02/02/2021
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