Nicole Pham Dpm Professional Corporation

NPI #1538040001 in Manteca, California

Provider Information

NPI Number: 1538040001
Entity Type: Organization
Organization Name: Nicole Pham Dpm Professional Corporation
Primary Specialty: Podiatrist
Enumeration Date: Sep 10, 2025
Last Updated: Nov 5, 2025

Practice Location

Address: 1140 NORMAN DR STE 1
City: Manteca
State: California
ZIP Code: 95336-5900
Phone: (209) 823-2700

Authorized Official

Name: NICOLE PHAM, DPM
Title: CEO
Phone: (925) 980-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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