Pham, Sally Thanh

Pham, Sally Thanh is an individual health care provider with primary practice located at 48 Fenton St , Livermore CA 94550-4144. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Pham, Sally Thanh can be contacted via phone (925) 455-1555.

Contact Information

Primary practice address
48 Fenton St Livermore CA 94550-4144
Phone: (925) 455-1555
Fax: (925) 292-7592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4685 California

Profile Details

NPI number 1730218678
LBN Legal business name Pham, Sally Thanh
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Dec 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730218678 NPPES
California Other 6337710001 NSC PTAN

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