Individual
LUYEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
81713 US HWY 11, STE F, INDIO, CA 92201
(760) 342-2493
Mailing address
18133 OLD TRAIL LN, FOUNTAIN VALLEY, CA 92708-6859
(415) 794-9841
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4677
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E4677
CA
213ES0000X
Sports Medicine Podiatrist
E4677
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4677
CA
Other
Enumeration date
05/24/2006
Last updated
07/21/2022
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