Individual
DR. JOHNNY CHIEU TAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6098
(253) 968-2252
Mailing address
1300 N VERMONT AVE STE 101, LOS ANGELES, CA 90027-6098
(323) 906-6048
(323) 644-4442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TPG35396
CA
Other
Enumeration date
03/14/2022
Last updated
01/28/2025
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