Individual
DR. KHANH Q PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
(909) 796-4158
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 793-3311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A8578
CA
Other
Enumeration date
07/06/2006
Last updated
03/05/2015
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