| Khanh G Pham, Md Inc | |
|
9191 Bolsa Ave Ste 205 Westminster CA 92683-5561 | |
| (714) 891-7035 | |
| (714) 897-8304 |
| Full Name | Khanh G Pham, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9191 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Khanh Gia Pham (OWNER) |
| Authorized Official Contact | 7148917035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khanh G Pham, Md Inc 9191 Bolsa Ave Ste 205 Westminster CA 92683-5561 Ph: (714) 891-7035 | Khanh G Pham, Md Inc 9191 Bolsa Ave Ste 205 Westminster CA 92683-5561 Ph: (714) 891-7035 |
| NPI Number | 1154591766 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154591766 | NPI | - | NPPES |
| 00A418050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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