Individual
AMANDA PANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 V ST # 1100, SACRAMENTO, CA 95817-1460
(916) 734-2737
Mailing address
10741 TANK HOUSE DR, STOCKTON, CA 95209-4341
(209) 401-6601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A182025
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2019
Last updated
04/11/2024
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