Individual
ANNE N PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2126
(818) 375-4479
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2126
(818) 375-4479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33073
WA
207Q00000X
Family Medicine Physician
Primary
G130189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022290
—
WA
Enumeration date
03/07/2006
Last updated
12/15/2021
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