| NPI Details | |
|---|---|
| NPI | 1689745648 |
| Gender | Male |
| Enumeration Date | 11/13/2006 |
| Last Updated | 09/23/2008 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 4733 W SUNSET BLVD LOS ANGELES CA, 90027-6021, US |
|
| Phone | (323) 783-4011 |
| Fax | |
| Business Location | |
|---|---|
| 4733 W SUNSET BLVD LOS ANGELES CA, 90027-6021, US |
|
| Phone | (323) 783-4011 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | California |
| License Number | A77172 |
| Remove 1689745648 NPI Number | |
According to our database, Ronald A. Pham MD NPI is 1689745648, taxonomy code is 207Q00000X and license number is A77172, license state is located at California. Ronald A. Pham MD physically located at 4733 W Sunset Blvd, Los Angeles CA, 90027-6021. NPI Number Ronald A. Pham MD has the Individual type.
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1689745648 NPI number is provided on an as is basis without warranty of any kind. 1689745648 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald A. Pham MD are for informational purposes only.
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