Provider Demographics
NPI:1144243908
Name:CAM, VINH (MD)
Entity Type:Individual
Prefix:MR
First Name:VINH
Middle Name:
Last Name:CAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3291 SKYPARK DR
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5004
Mailing Address - Country:US
Mailing Address - Phone:310-325-4517
Mailing Address - Fax:310-325-1144
Practice Address - Street 1:3291 SKYPARK DR
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5004
Practice Address - Country:US
Practice Address - Phone:310-325-4517
Practice Address - Fax:310-325-1144
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA76758207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA76758OtherMEDICAL LICENSE