Individual
HANNAH NGOC HA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
748 S HARBOR BLVD, SANTA ANA, CA 92704-2337
(714) 839-7534
(714) 839-9635
Mailing address
748 S HARBOR BLVD, SANTA ANA, CA 92704-2337
(714) 839-7534
(714) 839-9635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12411T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0124110
—
CA
Enumeration date
11/29/2006
Last updated
11/08/2007
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