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Organization

TRUNG M THAI MD INC

Active
Other names
Brain Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRUNG M THAI M.D. (OWNER / PSYCHIATRIST)
(949) 851-3086
Entity
Organization

Contact information

Practice address
1601 DOVE ST, SUITE 299, NEWPORT BEACH, CA 92660-2433
(949) 851-3086
(949) 398-8072
Mailing address
1601 DOVE ST, SUITE 299, NEWPORT BEACH, CA 92660-2433
(949) 851-3086
(949) 398-8072

Taxonomy

Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
2084N0400X
Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
A54617
CA

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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