Individual provider · Type 1 NPI
John Pham, D.P.M.
Foot Surgery Podiatrist · Loma Linda, CA
NPI number
1104929140
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | E4417 (CA) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1104929140
John Pham, D.P.M.'s National Provider Identifier is 1104929140, issued on Sep 6, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Loma Linda, CA. The record was last updated on Nov 30, 2010.