Individual
DR. CECILIA T PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1190 BAKER ST STE 100, COSTA MESA, CA 92626-4105
(949) 791-3250
(949) 791-3261
Mailing address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A21614
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
12/27/2023
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