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Contact Information

HEIDI Q PHAM, O,D,
1869 ARDEN FAIR MALL,
SUITE 1091
SACRAMENTO, CA95815
 Phone: 916-929-5909
 Fax: 916-929-8202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for HEIDI Q PHAM · (Female)

NPI # 1457338154
Status Active
Credentials O,D,
Entity Individual
Enumeration date 12/23/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 11521T
  • CA Medicaid SD011521
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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