Individual
LONG BA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5261 E THE TOLEDO APT 5, LONG BEACH, CA 90803-1858
(408) 314-1120
Mailing address
5261 E THE TOLEDO APT 5, LONG BEACH, CA 90803-1858
(408) 314-1120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
996869
CA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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