Individual provider · Type 1 NPI
Vicky Pham
Primary Care Nurse Practitioner · Garden Grove, CA
NPI number
1851022073
Active
Practice location
12351 Pentagon St
Garden Grove, CA 92841-3326
Mailing address
4152 Katella Ave Ste 201
Los Alamitos, CA 90720-6608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95021273 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1851022073
Vicky Pham's National Provider Identifier is 1851022073, issued on Jun 20, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Garden Grove, CA. The record was last updated on Aug 19, 2022.