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Dr. Diana Kim Phung Nguyen Pham, MD

Family Medicine in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1013064005
StatusActive
Last updated in NPPESNov 4, 2009

Details

NPI
1013064005
Entity type
Individual (NPI-1)
Name
Dr. Diana Kim Phung Nguyen Pham
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2007
Last updated
Nov 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA83986CAYes

Other names

  • Diana Kim Phung Nguyen (Professional Name)

Practice location

18642 Bushard St
Fountain Valley, CA 92708-7209

Phone 714-883-0771 · Fax 714-962-2321

Mailing address

18642 Bushard St
Fountain Valley, CA 92708-7209

Phone 714-883-0771 · Fax 714-962-2321

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