Provider Demographics
NPI:1356310957
Name:THIO, ANDREW HOK SAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HOK SAN
Last Name:THIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41670 IVY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9432
Mailing Address - Country:US
Mailing Address - Phone:951-600-7702
Mailing Address - Fax:951-600-5987
Practice Address - Street 1:41670 IVY ST
Practice Address - Street 2:SUITE B
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9432
Practice Address - Country:US
Practice Address - Phone:951-600-7702
Practice Address - Fax:951-600-5987
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG75296207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G752960Medicaid
050076016OtherRAILROAD MEDICARE
CA00G752960Medicaid
CA00G752960Medicare PIN