Individual
TRA V PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
Mailing address
1324 W PENNSYLVANIA AVE, SAN DIEGO, CA 92103-3706
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301508282
MI
207VG0400X
Gynecology Physician
87896
GA
207VG0400X
Gynecology Physician
Primary
A196360
CA
Other
Enumeration date
04/03/2017
Last updated
08/03/2026
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