Individual provider · Type 1 NPI

Jessica Phuong Trang Pham, MD

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1699617035 Active

Practice location

1800 N California St
Stockton, CA 95204-6019

Call (209) 547-7181 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699617035

Jessica Phuong Trang Pham, MD's National Provider Identifier is 1699617035, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Apr 6, 2026.