Provider Demographics
NPI:1760404040
Name:DO, THANHTUYEN (MD)
Entity Type:Individual
Prefix:DR
First Name:THANHTUYEN
Middle Name:
Last Name:DO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 W SNEAD ST
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-9507
Mailing Address - Country:US
Mailing Address - Phone:714-957-5187
Mailing Address - Fax:714-957-5374
Practice Address - Street 1:2501 HARBOR BLVD
Practice Address - Street 2:DEPARTMENT OF OEHS DIRECTOR, DR. DO
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-6143
Practice Address - Country:US
Practice Address - Phone:714-957-5187
Practice Address - Fax:714-957-5374
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA062765208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation