Healthcare Provider Details
I. General information
NPI: 1295650315
Provider Name (Legal Business Name): LAY LE TONTHAT PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3115 ORO DAM BLVD E STE 1
OROVILLE CA
95966-5275
US
IV. Provider business mailing address
3115 ORO DAM BLVD E STE 1
OROVILLE CA
95966-5275
US
V. Phone/Fax
- Phone: 562-262-1769
- Fax:
- Phone: 562-262-1769
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
CAO
TONTHAT
Title or Position: PRESIDENT
Credential: DO
Phone: 562-262-1769