Most Relevant Information
Provider Data
| NPI Number: | 1003526187 |
| Provider Name: | RENEE PHAM NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95022288 |
Most Important Dates
| Enumeration Date: | 11/30/2022 |
| Last Updated: | 01/24/2023 |
Provider Practice Location
955 W IMPERIAL HWY STE 200
BREA
CA
928213812
Practice Location Phone/Fax
| Phone: | 7144496000 |
| Fax: |
Provider Mailing Location
955 W IMPERIAL HWY STE 200
BREA
CA
928213812
Provider Mailing Phone/Fax
| Phone: | 7144496000 |
| Fax: |