MEDICARE: DR. ANN LAN 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
1	207R00000X	Internal Medicine Physician	A61491	CA

General Provider Information

NPI Number	:	1215001904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN LAN MAI MD

Provider Business Mailing Address
First Line	:	PO BOX 13279
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92658-5091
Country	:	US
Telephone Number	:	949-262-9700
Fax Number	:	949-262-0700

Provider Business Practice Location Address
First Line	:	4950 BARRANCA PKWY STE 207
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92604-8648
Country	:	US
Telephone Number	:	949-262-9700
Fax Number	:	949-262-0700

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/20/2024

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