Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-06-26
- Last updated
- 2025-09-11
Licenses
The registry row did not include a license.
Location
- Practice location
- 10362 BOLSA AVE
- City
- WESTMINSTER CA
- Postal code
- 926836763
- Phone
- 714-531-2091
Organization contact
- Name
- CO PHAM
- Title
- President
- Phone
- 7145312091
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.