Individual
EMILY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23141 MOULTON PKWY STE 102, LAGUNA HILLS, CA 92653-1241
(949) 916-9100
(949) 916-0091
Mailing address
26661 SOTELO, MISSION VIEJO, CA 92692-3300
(949) 861-0090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
10/31/2019
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