MEDICARE: MATTHEW MAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	37630	CA

General Provider Information

NPI Number	:	1013840743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW MAI

Provider Business Mailing Address
First Line	:	22026 CANTLAY ST
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-1101
Country	:	US
Telephone Number	:	818-288-8064
Fax Number	:

Provider Business Practice Location Address
First Line	:	17609 VENTURA BLVD STE 104
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-5148
Country	:	US
Telephone Number	:	818-291-3636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ MATTHEW MAI ” Practice Location

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