Individual
DANIEL JARVIS PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3298
(148) 542-4247
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 854-2424
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95016139
CA
Other
Enumeration date
12/14/2020
Last updated
09/12/2025
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