Tien Hoang Mai, PHYSICIAN ASSISTANT
NPI #1730261959 in West Covina, California
Provider Information
- NPI Number
- 1730261959
- Entity Type
- Individual
- Name
- Tien Hoang Mai, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1135 S SUNSET AVE STE 100
- City
- West Covina
- State
- California
- ZIP Code
- 91790-3938
- Phone
- (626) 960-8614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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