| Chelsea Pham-wightman, MD | |
|
947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 | |
| (714) 776-3180 | |
| Not Available |
| Full Name | Chelsea Pham-wightman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 947 S Anaheim Blvd Ste 125, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326608944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R-11674 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | A178554 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Pham-wightman, MD 947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 Ph: (714) 776-3180 | Chelsea Pham-wightman, MD 947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 Ph: (714) 776-3180 |
Dino A. Imperial, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Lance C. Brunner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Marites Mcmurtrey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Steven Chao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804 Phone: 714-995-5471 Fax: 714-995-5815 | |
Edmond K Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804 Phone: 714-952-0203 Fax: 714-952-1387 | |
Warren U. Wong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Jeff D. Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |