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Individual

MICHAEL LIEM NGUYEN PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 N. STATE ST., LOS ANGELES, CA 90033
(562) 385-7687
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
37638
CA

Other

Enumeration date
08/08/2017
Last updated
08/08/2017
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