Individual
JONATHAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92350-1819
(909) 558-4000
Mailing address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92350-1716
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
11802786-1205
UT
207RI0200X
Infectious Disease Physician
Primary
A162262
CA
Other
Enumeration date
06/14/2017
Last updated
07/18/2025
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