Individual
DIANE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3403 S MAIN ST UNIT K, SANTA ANA, CA 92707-4325
(714) 425-4266
Mailing address
3403 S MAIN ST UNIT K, SANTA ANA, CA 92707-4325
(714) 425-4266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018390
CA
Other
Enumeration date
01/25/2020
Last updated
01/06/2023
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