| Doctor Name: | DR. VINH MAI |
| NPI Number: | 1992887293 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A9129 |
| Business Practice Address: | 2101 N Waterman Ave San Bernardino, CA - 924044836 |
| Business Phone Number: | 9098814520 |
| Business Fax Number: | 9098814526 |
| Mailing Address: | 5410 Maryland Way, Suite 300 BRENTWOOD |
| State: | TN |
| Postal Code: | 370275064 |
| Phone Number: | 6153775652 |
| Fax Number: | 8882411404 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 20A9129 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |