Individual
EMI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2251 N HARBOR BLVD, FULLERTON, CA 92835-2601
(714) 449-6230
(714) 449-1773
Mailing address
23811 FORMELLO, LAGUNA HILLS, CA 92653-1843
(714) 487-4073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
57134
CA
Other
Enumeration date
02/27/2019
Last updated
11/09/2021
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