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General NPI Number Information
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NPI Number | 1194638403
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Entity Type | Organization
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Legal Business Name | TRUNG PHAM MD INC
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 9411 BOLSA AVE STE B
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City | WESTMINSTER
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State | CA
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Zip | 92683-5980
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Country | US
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Telephone | 714-559-3846
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Fax |
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Provider Business Mailing Address
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Address Line | 9411 BOLSA AVE STE B
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City | WESTMINSTER
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State | CA
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Zip | 92683-5980
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRUNG PHAM
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Credential | MD
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Telephone | 669-252-4724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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