Individual
KODY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7938 W 3RD ST, LOS ANGELES, CA 90048-4305
(215) 429-6709
Mailing address
3545 WILSHIRE BLVD APT 329, LOS ANGELES, CA 90010-4302
(215) 429-6712
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95031342
CA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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