Organization
LUYEN PHAM DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUYEN PHAM DPM (OWNER)
(415) 794-9841
Entity
Organization
Contact information
Practice address
81713 US HIGHWAY 111, INDIO, CA 92201-0721
(760) 342-2493
(760) 342-2549
Mailing address
18133 OLD TRAIL LN, FOUNTAIN VALLEY, CA 92708-6859
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4677
CA
Other
Enumeration date
08/23/2017
Last updated
09/11/2017
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