Organization
DIEM Q. PHAM, D.O., INC.
Active
Organization
DIEM Q. PHAM, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEM QUYNH PHAM D.O. (CEO)
(909) 392-3230
Entity
Organization
Contact information
Practice address
2740 N GAREY AVE, SUITE 100, POMONA, CA 91767-1800
(909) 392-3230
(909) 392-3224
Mailing address
2740 N GAREY AVE, SUITE 100, POMONA, CA 91767-1800
(909) 392-3230
(909) 392-3224
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
20A7309
CA
Other
Enumeration date
10/19/2006
Last updated
02/10/2008
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