Provider Demographics
NPI:1558912329
Name:DO, TRAMI THI (MS)
Entity Type:Individual
Prefix:
First Name:TRAMI
Middle Name:THI
Last Name:DO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5222 CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-6519
Mailing Address - Country:US
Mailing Address - Phone:909-418-8113
Mailing Address - Fax:
Practice Address - Street 1:1343 N GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-4043
Practice Address - Country:US
Practice Address - Phone:626-389-9747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-1939743103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst