Individual provider · Type 1 NPI
Luyen Pham, DPM
Foot & Ankle Surgery Podiatrist · Indio, CA
NPI number
1598710600
Active
Practice location
81713 US Hwy 11, Ste F
Indio, CA 92201
Mailing address
18133 Old Trail Ln
Fountain Valley, CA 92708-6859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | E4677 (CA) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E4677 (CA) |
| Sports Medicine Podiatrist | 213ES0000X | E4677 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4677 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Indio
About NPI 1598710600
Luyen Pham, DPM's National Provider Identifier is 1598710600, issued on May 24, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Indio, CA. The record was last updated on Jul 21, 2022.