Individual
DR. HEIDI Q.T. PHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O,D,
Contact information
Practice address
1869 ARDEN FAIR MALL,, SUITE 1091, SACRAMENTO, CA 95815
(916) 929-5909
(916) 929-8202
Mailing address
8684 MARIALAINA CT, SACRAMENTO, CA 95828-5063
(916) 929-5909
(916) 929-8202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11521T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD011521
—
CA
Enumeration date
12/23/2005
Last updated
07/09/2007
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