Individual
DIEN VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 E ANAHEIM ST, LONG BEACH, CA 90813-3550
(562) 591-0840
(562) 591-4191
Mailing address
855 E ANAHEIM ST, LONG BEACH, CA 90813-3550
(562) 591-0840
(562) 591-4191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A39768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A397680
—
CA
Enumeration date
08/31/2006
Last updated
09/01/2015
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