PHIVAN PHAM-CCASA

LOS ANGELES, CA
NPI1093674970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  NP95038118)
Enumeration Date2026-01-16
Last Update Date2026-04-06
Business Address
PHIVAN PHAM-CCASA
600 S SAN VICENTE BLVD
LOS ANGELES, CA 90048-4653
Phone number: 310-873-3312
Mailing Address
PHIVAN PHAM-CCASA
9912 CHESHIRE AVE
WESTMINSTER, CA 92683-5708
Phone number: