Provider Demographics
NPI:1376706853
Name:MAI, ANH ALINE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:ALINE
Last Name:MAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANH
Other - Middle Name:ALINE
Other - Last Name:MAI-DURSUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12027 ANETA ST
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-5909
Mailing Address - Country:US
Mailing Address - Phone:714-267-8314
Mailing Address - Fax:
Practice Address - Street 1:1701 SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3411
Practice Address - Country:US
Practice Address - Phone:626-679-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-06
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193208207P00000X
CAA117560207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine