Individual
AN THIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2441 W LA PALMA AVE STE 100, ANAHEIM, CA 92801-2658
(657) 282-6356
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012219
CA
Other
Enumeration date
01/03/2020
Last updated
04/25/2023
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