Organization
KELVIN MAI, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ORANTES (CREDENTIALING MANAGER)
(310) 515-5004
Entity
Organization
Contact information
Practice address
1002 N FAIRVIEW ST, SANTA ANA, CA 92703-1811
(714) 332-1069
Mailing address
1002 N FAIRVIEW ST, SANTA ANA, CA 92703-1811
(147) 332-1069
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A8944
CA
Other
Enumeration date
10/26/2009
Last updated
09/02/2022
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