LUAN PHAM DPM NPI 1780751545

NPI Information

NPI: 1780751545
Provider Name: LUAN PHAM, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: SHARP REES-STEALY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
9961 SIERRA AVE
FONTANA, CA
ZIP 92335
Phone: (909) 427-3910
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Luan Pham, DPM is a foot and ankle surgery podiatrist in Fontana, CA with 25 years of experience. Luan Pham, DPM NPI is 1780751545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1999

The provider's business location address is:

9961 SIERRA AVE
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-3910

The NPI 1780751545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/29/2006 and was last updated on 9/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4309	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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