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Individual
KIM NGAN PHAM
Active
Individual
KIM NGAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1265115406
CA
363A00000X
Physician Assistant
67708
CA
363A00000X
Physician Assistant
MP0684921
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
08/14/2023
Last updated
07/18/2026
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