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Search › California › 122300000X

Derrick Pham, DENTAL STUDENT

NPI 1023632676 · on the registry since 2020

Practice

Address
92055 14th Street
Oceanside, CA 92058
Phone
(760) 725-5870
Clinicians at this address
3

Additional practice sites

  • 714 Tiverton Ave, Los Angeles, CA
  • Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California