Organization
D Q PHAM MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEU QUY PHAM MD (PRESIDENT OF DQ PHAM MEDICAL CORPOR)
(714) 534-6911
Entity
Organization
Contact information
Practice address
14160 BROOKHURST ST, GARDEN GROVE, CA 92843-4657
(714) 534-6911
(714) 534-0852
Mailing address
14160 BROOKHURST ST, GARDEN GROVE, CA 92843-4657
(714) 534-6911
(714) 534-0852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A62320
CA
208100000X
Physical Medicine & Rehabilitation Physician
A37427
CA
208D00000X
General Practice Physician
Primary
A37427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094890
—
CA
Enumeration date
05/17/2006
Last updated
08/13/2010
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