| Ngoc Minh Pham Md | |
|
2363 Ulric Street Suite B San Diego CA 92111-6447 | |
| (858) 268-1747 | |
| (858) 268-4172 |
| Full Name | Ngoc Minh Pham Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2363 Ulric Street, San Diego, California |
| Authorized Official Name and Position | Ngoc Minh Pham (OWNER) |
| Authorized Official Contact | 8582681747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngoc Minh Pham Md 2363 Ulric St Suite B San Diego CA 92111-6447 Ph: (858) 268-1747 | Ngoc Minh Pham Md 2363 Ulric Street Suite B San Diego CA 92111-6447 Ph: (858) 268-1747 |
| NPI Number | 1114098886 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114098886 | NPI | - | NPPES |
| 00A349240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A34924 (California) | Primary |
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