| NPI | 1225913304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAN PHAM Family Nurse Practitioner 714-907-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-10-07 |