Healthcare Provider Details

I. General information

NPI: 1336427640
Provider Name (Legal Business Name): HOA MAI ACUPUNCTURE & CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10131 WESTMINSTER AVE SUITE 208
GARDEN GROVE CA
92843-4752
US

IV. Provider business mailing address

10131 WESTMINSTER AVE SUITE 208
GARDEN GROVE CA
92843-4752
US

V. Phone/Fax

Practice location:
  • Phone: 714-537-0988
  • Fax: 714-537-0988
Mailing address:
  • Phone: 714-537-0988
  • Fax: 714-537-0988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13167
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24420
License Number StateCA

VIII. Authorized Official

Name: DR. MAI THI HUYNH
Title or Position: OWNER/DOCTOR
Credential: DC
Phone: 714-717-2201