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NPI Code Detail

MEDICARE: CHRISTINE PHAM

MEDICARE: CHRISTINE PHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598624819
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE PHAM
Provider Business Mailing Address
First Line : 470 E 3RD ST STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1630
Country : US
Telephone Number : 213-620-5712
Fax Number :
Provider Business Practice Location Address
First Line : 470 E 3RD ST STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1630
Country : US
Telephone Number : 213-620-5712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ CHRISTINE PHAM ” Practice Location

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