Individual
JOHN DANG KHOA NGUYEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 BALL RD, CYPRESS, CA 90630-3856
(714) 484-3502
Mailing address
5501 BALL RD, CYPRESS, CA 90630-3856
(714) 484-3502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
01/28/2021
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