Organization
METABOLIC MEDICINE & FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC H. PHAM M.D. (MEDICA DOCTOR/ OWNER)
(714) 541-4343
Entity
Organization
Contact information
Practice address
17542 17TH ST, SUITE 410, TUSTIN, CA 92780-1959
(714) 541-4343
(714) 835-9550
Mailing address
17542 17TH ST, SUITE 410, TUSTIN, CA 92780-1959
(714) 541-4343
(714) 835-9550
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A78428B
CA
Other
Enumeration date
04/23/2015
Last updated
06/20/2018
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