Provider Demographics
NPI:1003566217
Name:PHAM, ALEXANDER MINH (DPT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MINH
Last Name:PHAM
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8212 E HILLSDALE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-2448
Mailing Address - Country:US
Mailing Address - Phone:714-224-2956
Mailing Address - Fax:
Practice Address - Street 1:10900 WARNER AVE STE 117
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3846
Practice Address - Country:US
Practice Address - Phone:145-943-9727
Practice Address - Fax:714-587-9670
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist