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DR. VIET QUOC MAI MD NPI 1528042090


NPI Information

NPI: 1528042090
Provider Name: DR. VIET QUOC MAI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D1021347

Address:
520 W BADILLO ST
SUITE E
COVINA, CA
ZIP 91722
Phone: (626) 858-5730
Get Directions

DR. Viet Quoc Mai, MD is a pediatrics in Covina, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Viet Quoc Mai, MD NPI is 1528042090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 W BADILLO ST
SUITE E
COVINA, CA
ZIP 91722-762
Phone: (626) 858-5730
Fax: (626) 966-0430

The CLIA number assigned to this NPI record is 05D1021347 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA82432CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14887735MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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