Individual
DR. KRYSTAL HANH TRAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708-4048
(714) 486-1228
(714) 486-3108
Mailing address
11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708-4048
(714) 486-1228
(714) 486-3108
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A114075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12284
MEDICAL LICENSE
NV
01
—
15803
PHARMACY LICENSE
NV
01
—
A114075
MEDICAL LICENSE
CA
Enumeration date
03/16/2007
Last updated
03/07/2023
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