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NPI Code Detail

MEDICARE: DR. CAMTIEN THAI

MEDICARE: DR. CAMTIEN THAI
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
1183500000XPharmacist52228CA

General Provider Information

NPI Number : 1538552575
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAMTIEN THAI
Provider Business Mailing Address
First Line : 12842 VENTURA BLVD
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2369
Country : US
Telephone Number : 818-761-7211
Fax Number :
Provider Business Practice Location Address
First Line : 12842 VENTURA BLVD
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2369
Country : US
Telephone Number : 818-761-7211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2015
Last Update Date : 05/16/2026

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Directions to “ DR. CAMTIEN THAI ” Practice Location

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