Individual
DR. DIEUMY THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16401 MAGNOLIA ST, WESTMINSTER, CA 92683-7827
(714) 596-4288
(714) 596-2388
Mailing address
PO BOX 9015, FOUNTAIN VALLEY, CA 92728-9015
(714) 596-4288
(714) 596-2388
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G64401
CA
2081P0004X
Spinal Cord Injury Medicine Physician
G64401
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G64401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G644010
—
CA
Enumeration date
09/26/2006
Last updated
02/17/2010
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