Individual
ANN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE BUILDING, 3RD FLOOR, HARBOR CITY, CA 90710-3518
(424) 251-7060
Mailing address
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE BUILDING, 3RD FLOOR, HARBOR CITY, CA 90710-3518
(424) 251-7060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A119485
MEDICAL LICENSE
CA
Enumeration date
04/23/2010
Last updated
12/04/2021
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