Organization
OPTUMRX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN DINH PHAM PHARM.D. (PHARMACIST)
(818) 943-3599
Entity
Organization
Contact information
Practice address
2300 MAIN ST, IRVINE, CA 92614-6223
(949) 475-3466
(949) 474-4237
Mailing address
2300 MAIN ST, IRVINE, CA 92614-6223
(949) 475-3466
(949) 474-4237
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
64702
CA
305S00000X
Point of Service
Primary
64702
CA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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