Individual
DR. DIANA KIM PHUNG NGUYEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18642 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-7209
(714) 883-0771
(714) 962-2321
Mailing address
18642 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-7209
(714) 883-0771
(714) 962-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83986
CA
Other
Enumeration date
01/04/2007
Last updated
11/04/2009
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