17150 EUCLID ST STE 319
FOUNTAIN VALLEY, CA 92708-4092 US PECOS Enrolled
Dieu Quang Pham
Surgeon (Oral & Maxillofacial)
- FOUNTAIN VALLEY, CA
- Phone: (714)-444-2274
- Last Updated 12/3/2021
Overview
Dieu Quang Pham is a Surgeon (Oral & Maxillofacial) in the FOUNTAIN VALLEY area and has over 22 years of experience. Dieu Quang Pham primary office location is at 17150 EUCLID ST STE 319 and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Southern California Keck School Of Medicine and graduated 2002 The NPI number is 1205856598 and the information was updated approximately 3 years ago.
Dieu Quang Pham is affiliated with one medical group in the FOUNTAIN VALLEY area, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| A85351 | CA |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Surgeon (Oral & Maxillofacial) - Taxonomy Code 204E00000X | CA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20150909002776 |
| PECOS Individual PAC ID: | 1052628971 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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