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Jennifer Pham, PA
Medical Physician Assistant in San Diego, California
NPI 1396993713

Jennifer Pham is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Jennifer Pham practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Jennifer Pham is 1396993713 and holds a License No. 20411 (California).

The current practice location address for Jennifer Pham is 3900 Fifth Ave Ste 110, San Diego, CA and can be reached out via phone at 858-554-1212.

Location: 3900 Fifth Ave Ste 110, San Diego, CA, 92103-3122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396993713
Provider Name
Jennifer Pham
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3900 Fifth Ave Ste 110, San Diego, CA, 92103-3122
Phone Number
858-554-1212
Fax Number
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3900 Fifth Ave Ste 110
City
San Diego
State
California
Zip
92103-3122
Phone Number
858-554-1212
Fax Number
person
Provider Business Mailing Address Details
Address
3900 Fifth Ave Ste 110
City
San Diego
State
California
Zip
92103-3122
Phone Number
858-554-1212
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
20411 (California)
Definition
Definition to come...
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