Provider Demographics
NPI:1700844370
Name:PHAM, TONY HUY (MD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:HUY
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2020 CAMINO DEL RIO N
Mailing Address - Street 2:SUITE 808
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1541
Mailing Address - Country:US
Mailing Address - Phone:619-298-2733
Mailing Address - Fax:
Practice Address - Street 1:2020 CAMINO DEL RIO N
Practice Address - Street 2:STE 808
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1541
Practice Address - Country:US
Practice Address - Phone:619-298-2733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2010-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80739207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
270385881OtherTHE SAN DIEGO AND ORANGE COUNTY LASIK INSTITUTE