IndividualActive
John Pham, D.P.M.
NPI 1104929140 · Foot Surgery Podiatrist · Loma Linda, CA
Provider details
- NPI number
- 1104929140
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E4417 (CA)
Mailing address
11201 Benton St
Loma Linda, CA 92357-1000
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2010-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.