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

Kevin Pham, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033811708

Kevin Pham, DO is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4510 Brockton Ave
Riverside, CA 92501-4015
Phone: (951) 897-9896
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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 number1033811708
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 18, 2023
Mailing address4510 Brockton Ave, Riverside, CA 92501-4015

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