DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CECILIA T PHAM, DO

Active Sole Proprietor

DR. CECILIA T PHAM, DO is a Adolescent Medicine healthcare provider located in COSTA MESA, California. NPI 1962031294 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · COSTA MESA, CA

Registration Details

NPI Number
1962031294
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2020 (6.3635892227399 yrs)
Last Updated
Dec 27, 2023
License
20A21614 (CA)
Sole Proprietor
Yes

Practice Information

Address
1190 BAKER ST STE 100
COSTA MESA, CA, 926264105
Browse CA providers · Browse ZIP 92626
Phone
9497913250
Fax
9497913261
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine

Other Adolescent Medicine Providers in COSTA MESA, CA

Name Credential NPI
DR. RAUL MIRANDA MD 1407895006
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.