Individual
ERIC THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 OLD NEWPORT BLVD STE 200, NEWPORT BEACH, CA 92663-4255
(495) 489-6119
(949) 548-9958
Mailing address
455 OLD NEWPORT BLVD STE 200, NEWPORT BEACH, CA 92663-4255
(495) 489-6119
(949) 548-9958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/03/2021
Last updated
08/22/2022
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