Individual
MINHTRI TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
(951) 788-3000
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12979
CA
Other
Enumeration date
03/20/2023
Last updated
12/17/2024
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