Individual
BAO KHANH MINH THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
210 S GRAND AVE STE 415, GLENDORA, CA 91741-4292
(626) 335-3627
(626) 335-4806
Mailing address
210 S GRAND AVE STE 415, GLENDORA, CA 91741-4292
(626) 335-3627
(626) 335-4806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11806
CA
Other
Enumeration date
06/26/2009
Last updated
07/21/2022
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