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NPI Code Detail

MEDICARE: THANH HUY MAI NP

MEDICARE:   THANH HUY MAI  NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95038089CA
2163WP0808XPsychiatric/Mental Health Registered Nurse95112113CA

General Provider Information

NPI Number : 1770374266
Entity Type Code : Individual
Provider Name (Legal Business Name) : THANH HUY MAI NP
Provider Business Mailing Address
First Line : 4634 MUSCATEL AVE
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-1269
Country : US
Telephone Number : 626-349-5425
Fax Number :
Provider Business Practice Location Address
First Line : 4634 MUSCATEL AVE
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-1269
Country : US
Telephone Number : 626-349-5425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 05/20/2026

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Directions to “ THANH HUY MAI NP” Practice Location

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