Individual
DR. CUNG BRYAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 5TH ST STE 405, SAN FRANCISCO, CA 94107-1541
(888) 713-5540
(415) 231-5332
Mailing address
517 SUSANA AVE, REDONDO BEACH, CA 90277-3953
(310) 956-5409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227004
MA
207Q00000X
Family Medicine Physician
Primary
A81143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A811430
—
CA
Enumeration date
06/01/2005
Last updated
06/18/2024
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