Individual
TIEN HOANG MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1135 S SUNSET AVE STE 100, WEST COVINA, CA 91790-3938
(626) 960-8614
(626) 960-8624
Mailing address
1135 S SUNSET AVE STE 100, WEST COVINA, CA 91790-3938
(626) 960-8614
(626) 960-8624
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18238
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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