JOHNNY-AN THANH PHAM

LOS ANGELES, CA
NPI1457332504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13536)
Enumeration Date2005-11-07
Last Update Date2013-02-05
Business Address
Mr. JOHNNY-AN THANH PHAM PA C
1101 N VERMONT AVE
LOS ANGELES, CA 90029
Phone number: 323-665-4230
Mailing Address
Mr. JOHNNY-AN THANH PHAM PA C
5443 E LANAI STREET
LONG BEACH, CA 90808
Phone number: 310-503-1602