Most Relevant Information
Provider Data
| NPI Number: | 1003350950 |
| Provider Name: | CHRISTINE PHAM DUONG DNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95004664 |
Most Important Dates
| Enumeration Date: | 12/12/2016 |
| Last Updated: | 04/20/2017 |
Provider Practice Location
5549 VAN BUREN BLVD
RIVERSIDE
CA
925032068
Practice Location Phone/Fax
| Phone: | 9513245901 |
| Fax: | 8777789472 |
Provider Mailing Location
200 OCEANGATE
SUITE 100
LONG BEACH
CA
908024317
Provider Mailing Phone/Fax
| Phone: | 9513245901 |
| Fax: | 8777789472 |