# THUY Q. PHAM MD, PC DBA AVANTA HEALTH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720933179
- **Authorized official:** SON TRAN (CFO)
- **Authorized official phone:** (714) 766-9099

## Contact information

- **Practice address:** 11420 WARNER AVE, FOUNTAIN VALLEY, CA 92708-2529
- **Practice address phone:** (714) 495-0905
- **Mailing address:** 600 CITY PKWY W STE 800, ORANGE, CA 92868-2948
- **Mailing address phone:** (714) 495-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2026
- **Last updated:** 08/24/2026