Individual
CHINH THE MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-3075
(310) 267-8626
(310) 267-3899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G81527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G815270
BLUE SHIELD OF CA
CA
05
—
00G815270
—
CA
01
—
050068205
CALOPTIMA
AR
05
—
100507455
—
NV
Enumeration date
06/16/2006
Last updated
09/13/2024
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