Individual
JIMMY TAM HUY TAM HUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15990 TUSCOLA RD, APPLE VALLEY, CA 92307-2111
(442) 284-0080
(760) 946-3095
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A16546
CA
207R00000X
Internal Medicine Physician
5101022112
MI
207R00000X
Internal Medicine Physician
5315072508
MI
207RN0300X
Nephrology Physician
Primary
20A16546
CA
Other
Enumeration date
07/02/2015
Last updated
07/28/2022
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