Doctor Name: | DR. DAVID T. MAI |
NPI Number: | 1962589242 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G63683 |
Business Practice Address: | 17305 Brookhurst St Fountain Valley, CA - 927083721 |
Business Phone Number: | 7149688998 |
Business Fax Number: | 7149688628 |
Mailing Address: | 17305 Brookhurst St, FOUNTAIN VALLEY |
State: | CA |
Postal Code: | 927083721 |
Phone Number: | 7149688998 |
Fax Number: | 7149688628 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | G63683 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |