Individual
DR. HIEU D PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
(415) 476-1313
(415) 476-8999
Mailing address
990 W FREMONT AVE, SUITE V, SUNNYVALE, CA 94087-3021
(408) 738-3930
(408) 773-2716
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A70740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A707400
—
CA
Enumeration date
05/01/2006
Last updated
01/12/2010
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