Organization
AMANDA PHAM DO INC
Active
Other names
Constellation Psychiatry Medical Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA PHAM D.O. (CEO)
(714) 702-5140
Entity
Organization
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(714) 702-5140
Mailing address
2913 EL CAMINO REAL # 730, TUSTIN, CA 92782-8909
(714) 510-2474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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