Amy A Hetherington
Medical Specialty
Professional ID
- NPI: 1639628001
- PECOS ID: 1456617018
- Enrollment ID: I20171114003497
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Hospital Service
- Hospital CCN1: 050573
- Business Name (LBN)1: Eisenhower Medical Center
Medical Practices
- Organization Name: T K Loan Pham Md Inc
- Group Practice ID assigned by PECOS: 6002963188
- Number of Group Practice member: 3
Location
- Address1: 79440 Corporate Ctr Dr
- Address2: Suite 117
- City: La Quinta
- State: California
- Zip Code: 92253
- Phone Number: (760)771-2626
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):