Individual
THANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A60186
CA
208M00000X
Hospitalist Physician
Primary
A60186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00750043
MEDICARE RAILROAD
CA
Enumeration date
06/23/2006
Last updated
03/17/2018
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