Individual
BICHLOAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14541 BROOKHURST ST, SUITE C 12, WESTMINSTER, CA 92683-5700
(714) 839-4441
(714) 839-6668
Mailing address
8312 MAGIC CIR, HUNTINGTON BEACH, CA 92646-1532
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
08/20/2010
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