Individual
PETER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868-4600
(949) 229-0854
(870) 201-4413
Mailing address
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868-4633
(949) 229-0854
(870) 201-4413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95181593
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10031892
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11021928
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1170196
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
882787
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019677
CA
Other
Enumeration date
02/13/2019
Last updated
02/10/2026
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