Individual
DR. BRIAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
619 PINE AVE, LONG BEACH, CA 90802-1331
(562) 366-0777
(562) 366-8877
Mailing address
619 PINE AVE, LONG BEACH, CA 90802-1331
(562) 366-0777
(562) 366-8877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12346T
CA
Other
Enumeration date
01/30/2006
Last updated
02/23/2008
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