Organization
ERIC H. PHAM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC H PHAM MD (PRESIDENT)
(714) 541-4343
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE STE 760, ORANGE, CA 92868-4229
(714) 541-4343
(714) 835-9550
Mailing address
1140 W LA VETA AVE STE 760, ORANGE, CA 92868-4229
(714) 541-4343
(714) 835-9550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A78428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A784280
—
CA
Enumeration date
09/25/2006
Last updated
10/21/2011
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