NGA VAN PHAM, M.D, INC
Osteopathic Medicine at Lexann Ave, San Jose, CA

License number
California A69545
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: NGA VAN PHAM M.D
Title: PRESIDENT
Phone: (408) 532-0105
Address
Address
1569 Lexann Ave SUITE 112, San Jose, CA 95121
National Provider ID: 1245427962
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NGA VAN PHAM, M.D., INC

San Jose, CA

Doing business as:
Nga Van Pham MD Inc
Registration:
Jul 14, 2004
Phone:
(408) 532-0105 (Phone)
Addresses:
1569 Lexann Ave STE #112, San Jose, CA 95121 (Physical)
2470 Alvin Ave, San Jose, CA 95121
State ID:
C2626967
Business type:
Articles of Incorporation
Presidents:
Nga Pham (President),Nga Pham President, inactive

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