THAI SENG PHOU

FOUNTAIN VALLEY, CA
NPI1023319746
Other NameTHAI SENG PHOU
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA21328)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  PA21328)
Enumeration Date2010-11-11
Last Update Date2018-12-11
Business Address
Mr. THAI SENG PHOU PA-C
11190 WARNER AVE STE 306
FOUNTAIN VALLEY, CA 92708-4045
Phone number: 714-432-9990
Mailing Address
Mr. THAI SENG PHOU PA-C
4338 SUFFOLK ST
RIVERSIDE, CA 92509-7812
Phone number: 909-226-1100