# RTHAI REHAB, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558079160
- **Authorized official:** RICHARD THAI DO (PHYSICIAN)
- **Authorized official phone:** (408) 318-5974

## Contact information

- **Practice address:** 1130 W LA PALMA AVE, ANAHEIM, CA 92801-2803
- **Practice address phone:** (714) 772-7480
- **Mailing address:** 13089 PEYTON DR \# C345, CHINO HILLS, CA 91709-6018
- **Mailing address phone:** (408) 318-5974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2022
- **Last updated:** 01/09/2023