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PHAM, LUONG NGUYEN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: CCI
PO BOX 1031
TEHACHAPI CA 93581

Address last updated on 9/4/2009
Phone #: (661) 822-4402
Fax #:
County: NOT OKLAHOMA
License: 14514
Dated: 10/4/1983
Expires: 10/1/2009
License Type: Medical Doctor
Specialty: Psychiatry
Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: SOUTH VIET-NAM MEDICAL SCHOOLS
Graduated: 7 / 1972
CME Year: 2009
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CCI
PO BOX 1031
TEHACHAPI CA 93581

Phone #: (661) 822-4402
Fax #:

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