Individual provider · Type 1 NPI
Phivan Pham-Ccasa
Adult Health Nurse Practitioner · Los Angeles, CA
NPI number
1093674970
Active
Practice location
600 S San Vicente Blvd
Los Angeles, CA 90048-4653
Mailing address
9912 Cheshire Ave
Westminster, CA 92683-5708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP95038118 (CA) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1093674970
Phivan Pham-Ccasa's National Provider Identifier is 1093674970, issued on Jan 16, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 6, 2026.