Individual
NICOLE M. PHAM-BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-2681
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-2681
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A68978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A689780
—
CA
Enumeration date
01/08/2007
Last updated
12/03/2021
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