Pham, Timothy

Pham, Timothy is an sole proprietor health care provider with primary practice located at 1879 Lundy Ave # 122 , San Jose CA 95131-1834. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Pham, Timothy can be contacted via phone (408) 433-3930.

Contact Information

Primary practice address
1879 Lundy Ave # 122 San Jose CA 95131-1834
Phone: (408) 433-3930
Fax: (408) 433-3931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000E39370 California

Profile Details

NPI number 1407871015
LBN Legal business name Pham, Timothy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Dec 8th, 2007 - about 17 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 1407871015 NPPES
California MEDICAID 000E39370

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