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Contact Information

MICHAEL D PHAM, DO
9616 ARCHIBALD AVE STE 140
RANCHO CUCAMONGA, CA91730-7939
 Phone: 909-481-0436
 Fax: 909-481-0457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MICHAEL D PHAM · (Male)

NPI Number 1922462845
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2016
Last updated 06/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A19100
  • DC License # DO034915
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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