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Dr. Cecilia T Pham, DO
Adult Medicine Physician in Costa Mesa, California
NPI 1962031294

Cecilia T Pham is an Adult Medicine Physician based in Spokane, CA and is specialized in Adult Medicine. Cecilia T Pham practices in Costa Mesa, CA and has the professional credentials of DO. The NPI Number for Cecilia T Pham is 1962031294 and holds a License No. (California).

The current practice location address for Cecilia T Pham is 1190 Baker St Ste 100, Costa Mesa, CA and can be reached out via phone at 949-791-3250 and via fax at 949-791-3261.

Location: 1190 Baker St Ste 100, Costa Mesa, CA, 99202-2139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962031294
Provider Name
Cecilia T Pham
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1190 Baker St Ste 100, Costa Mesa, CA, 99202-2139
Phone Number
949-791-3250
Fax Number
949-791-3261
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1190 Baker St Ste 100
City
Costa Mesa
State
California
Zip
92626-4105
Phone Number
949-791-3250
Fax Number
949-791-3261
person
Provider Business Mailing Address Details
Address
1190 Baker St Ste 100
City
Costa Mesa
State
California
Zip
92626-4105
Phone Number
949-791-3250
Fax Number
949-791-3261
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
20A21614 (California)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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