Individual
DR. LARRY D PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
(405) 751-3183
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
(405) 751-3183
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A101563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386181482
—
CA
Enumeration date
04/18/2008
Last updated
07/29/2013
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