PHIVAN PHAM-CCASA
Nurse Practitioner - Adult Health
Active
Individual
NPI: 1093674970
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | Yes | 95038118 (CA) |
Frequently Asked Questions
NPI 1093674970 is the National Provider Identifier for PHIVAN PHAM-CCASA, a Nurse Practitioner - Adult Health provider located in Los Angeles, CA. This NPI was enumerated on January 16, 2026.
PHIVAN PHAM-CCASA practices at 600 S SAN VICENTE BLVD, Los Angeles, CA 90048.
Quick Facts
- NPI
- 1093674970
- Type
- Individual
- Enumerated
- Jan 16, 2026
- Last Updated
- Jan 16, 2026
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