Individual
CHI DINH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10160 PENSIVE PONDER ST, LAS VEGAS, NV 89178-6559
(951) 310-6843
Mailing address
10160 PENSIVE PONDER ST, LAS VEGAS, NV 89178-6559
(951) 310-6843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34424
CA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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