NAM KHANH THAI

LONG BEACH, CA
NPI1194285296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A178337)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207Q00000X Family Medicine
(Licence: CA  PTL404)
Enumeration Date2019-03-23
Last Update Date2022-09-24
Business Address
NAM KHANH THAI MD
1333 CHESTNUT AVE
LONG BEACH, CA 90813-2944
Phone number: 562-753-2302
Mailing Address
NAM KHANH THAI MD
1333 CHESTNUT AVE
LONG BEACH, CA 90813-2944
Phone number: 562-753-2302