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Organization

DIEUMY MICHELLE THAI, MD, INC.

Active
Other names
TOTAL REHAB & HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE THAI MD (MEDICAL DIRECTOR)
(714) 596-4288
Entity
Organization

Contact information

Practice address
16401 MAGNOLIA ST, WESTMINSTER, CA 92683-7827
(714) 596-4288
(714) 596-2388
Mailing address
16401 MAGNOLIA ST, WESTMINSTER, CA 92683-7827
(714) 596-4288
(714) 596-2388

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G644010
CA
2081P0004X
Spinal Cord Injury Medicine Physician
G644010
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G644010
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G644010
CA
Enumeration date
08/31/2006
Last updated
11/21/2008
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