Organization
THIDA WIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIDA WIN MD (PRESIDENT)
(626) 677-8218
Entity
Organization
Contact information
Practice address
100 S RAYMOND AVE, ALHAMBRA, CA 91801-3166
(626) 677-8218
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
02/10/2022
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