Individual
KEVIN MINH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2050 N TUSTIN ST # 1158, ORANGE, CA 92865-3902
(714) 280-2898
Mailing address
2050 N TUSTIN ST # 1158, ORANGE, CA 92865-3902
(714) 280-2898
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033863
CA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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