Individual
KATHLEEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A192501
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A192501
CA
Other
Enumeration date
03/20/2018
Last updated
09/19/2024
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