Individual
DAVID PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2916 W LINGAN LN, SANTA ANA, CA 92704-3026
(714) 423-4518
Mailing address
2916 W LINGAN LN, SANTA ANA, CA 92704-3026
(714) 423-4518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
814793
CA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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