Individual
DR. AMANDA LYNN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2677 N MAIN ST STE 130, SANTA ANA, CA 92705-6665
(714) 274-7577
Mailing address
2913 EL CAMINO REAL # 730, TUSTIN, CA 92782-8909
(714) 510-2474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A17059
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A17059
CA
Other
Enumeration date
03/18/2016
Last updated
08/30/2022
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