Individual
KIM THUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1801 E CHAPMAN AVE STE 1, ORANGE, CA 92867-7775
(657) 272-7577
Mailing address
8876 HILLERY DR, SAN DIEGO, CA 92126-2809
(858) 761-4743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95018684
CA
Other
Enumeration date
02/21/2022
Last updated
05/28/2024
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