Individual
DR. DEREK PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
100 W VILLA ST STE 103, PASADENA, CA 91103-3345
(626) 486-2563
Mailing address
100 W VILLA ST STE 103, PASADENA, CA 91103-3345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33128
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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