Individual
MICHAEL T. MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21634 RETREAT PKWY, CORONA, CA 92883-6100
(951) 493-6930
(951) 826-8136
Mailing address
21634 RETREAT PKWY, CORONA, CA 92883-6100
(951) 493-6930
(951) 826-8136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G57605
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G57605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GROUP NPI
CA
01
—
200040738
RAILROAD
CA
Enumeration date
06/30/2005
Last updated
04/14/2025
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