Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Khanhlinh Pham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952913410

Jacqueline Khanhlinh Pham is a Student in an Organized Health Care Education/Training Program in Fountain Valley, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

10474 La Sombra Ave
Fountain Valley, CA 92708-5211
Phone: (714) 906-9915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1952913410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020

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