Individual
CHELSEA PHAM-WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
947 S ANAHEIM BLVD STE 125, ANAHEIM, CA 92805-5584
(714) 776-3180
Mailing address
947 S ANAHEIM BLVD STE 125, ANAHEIM, CA 92805-5584
(714) 776-3180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A178554
CA
207Q00000X
Family Medicine Physician
R-11674
IA
Other
Enumeration date
06/17/2019
Last updated
08/12/2022
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