Individual
ANTHONY T. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
Mailing address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87649
CA
208M00000X
Hospitalist Physician
Primary
A87649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
TYPE 2 NPI
CA
01
—
A87649
MEDICAL LICENSE
CA
Enumeration date
07/19/2006
Last updated
10/26/2020
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