Dzung Anh Pham, D.O.
Family Medicine in Tustin, CA. Individual provider (NPI-1).
NPI number1790749653
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1790749653
- Entity type
- Individual (NPI-1)
- Name
- Dzung Anh Pham
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2006
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6269 | CA | Yes |
Practice location
2940 Nau AveTustin, CA 92782-3377
Phone 949-654-8455 · Fax 888-805-6665
Mailing address
2940 Nau AveTustin, CA 92782-3377
Phone 949-654-8455 · Fax 888-805-6665
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