Individual
CHAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
10048 BETHEL AVE, SAN JOSE, CA 95127
(408) 887-1047
Mailing address
10048 BETHEL AVE, SAN JOSE, CA 95127-3806
(408) 887-1047
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 6663
CA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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