Thang Bao Pham, PA

NPI #1295207447 in Glendale, California

Provider Information

NPI Number: 1295207447
Entity Type: Individual
Name: Thang Bao Pham, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 28, 2018
Last Updated: Nov 23, 2020

Practice Location

Address: 544 N GLENDALE AVE STE A
City: Glendale
State: California
ZIP Code: 91206-3311
Phone: (818) 241-4331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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