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NPI Code Detail

MEDICARE: MICHAEL T. MAI MD

MEDICARE: MICHAEL T. MAI MD
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
1207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianG57605CA
2207X00000XOrthopaedic Surgery PhysicianG57605CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200040738OTHERCARAILROAD
21730180415OTHERCAGROUP NPI

General Provider Information

NPI Number : 1124025598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL T. MAI MD
Provider Business Mailing Address
First Line : 21634 RETREAT PKWY
Second Line :
City : CORONA
State : CA
Zip : 92883-6100
Country : US
Telephone Number : 951-493-6930
Fax Number : 951-826-8136
Provider Business Practice Location Address
First Line : 21634 RETREAT PKWY
Second Line :
City : CORONA
State : CA
Zip : 92883-6100
Country : US
Telephone Number : 951-493-6930
Fax Number : 951-826-8136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/14/2025

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