Search › California › 363AM0700X
Thanh Pham
NPI 1285247049 · on the registry since 2020
Practice
- Address
- 590 N Sierra Way
San Bernardino, CA 92410 - Phone
- (909) 495-3595
- Fax
- (909) 763-2544
- Organisation at this address
- Merit Ipa
Surya Rx Services Inc
Golden Coast Mso, Inc.
Quality Care Ipa Inland Empire, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 9695 Base Line Rd, Rancho Cucamonga, CA
- 80545 Us Highway 111, Indio, CA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-16
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