Dr. Cung Bryan Pham, M.D.
Family Medicine in San Francisco, CA. Individual provider (NPI-1).
NPI number1790787802
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1790787802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cung Bryan Pham
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2005
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A81143 | CA | Yes |
| 207Q00000X | Family Medicine | 227004 | MA |
Other names
- Cung Bui Pham (Former Name)
Practice location
650 5th St Ste 405San Francisco, CA 94107-1541
Phone 888-713-5540 · Fax 415-231-5332
Mailing address
517 Susana AveRedondo Beach, CA 90277-3953
Phone 310-956-5409
Other practice locations
423 Fortress Blvd
Morgantown, WV 26508-1351
Morgantown, WV 26508-1351
Phone 304-225-2500
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