Individual
DR. MICHAEL DANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9616 ARCHIBALD AVE STE 140, RANCHO CUCAMONGA, CA 91730-7939
(909) 481-0436
(909) 481-0457
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 505-1078
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20A19100
CA
207W00000X
Ophthalmology Physician
DO034915
DC
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
20A19100
CA
Other
Enumeration date
04/06/2016
Last updated
06/13/2022
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