Individual
MYLIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 517-4675
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G80529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G805290
—
CA
Enumeration date
05/15/2006
Last updated
12/02/2021
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