Individual
KHOA DANG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8860 BOLSA AVE, STE B2, WESTMINSTER, CA 92683-5499
(714) 373-8555
Mailing address
104 HORSEBACK, IRVINE, CA 92602-1817
(949) 973-1061
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A142496
CA
Other
Enumeration date
03/29/2012
Last updated
11/29/2021
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