Provider Demographics
NPI:1205861549
Name:THANH-MAI TRINH MD, INC
Entity Type:Organization
Organization Name:THANH-MAI TRINH MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THANH-MAI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-638-1864
Mailing Address - Street 1:10212 WESTMINSTER AVE
Mailing Address - Street 2:STE 114
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4800
Mailing Address - Country:US
Mailing Address - Phone:714-638-1864
Mailing Address - Fax:714-638-1964
Practice Address - Street 1:10212 WESTMINSTER AVE
Practice Address - Street 2:STE 114
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4800
Practice Address - Country:US
Practice Address - Phone:714-638-1864
Practice Address - Fax:714-638-1964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60206207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A602060Medicaid
H06160Medicare UPIN
CA00A602060Medicaid