Organization
GEMIE N PHAM, OD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEMIE N PHAM O.D. (OWNER)
(714) 856-4592
Entity
Organization
Contact information
Practice address
17099 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3601
(714) 968-4269
(714) 968-5352
Mailing address
11872 GARNET CIR, GARDEN GROVE, CA 92845-1210
(714) 968-4269
(714) 968-5352
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13553
CA
Other
Enumeration date
08/31/2012
Last updated
07/02/2019
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