| Thai Phou, | |
|
1840 N Hacienda Blvd Ste 12, La Puente, CA 91744-1143 | |
| (916) 848-5412 | |
| Not Available |
| Full Name | Thai Phou |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1840 N Hacienda Blvd Ste 12, La Puente, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023319746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA21328 (California) | Primary |
| 363A00000X | Physician Assistant | PA21328 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Thai Phou, 1840 N Hacienda Blvd Ste 12, La Puente, CA 91744-1143 Ph: (909) 226-1100 | Thai Phou, 1840 N Hacienda Blvd Ste 12, La Puente, CA 91744-1143 Ph: (916) 848-5412 |
Andrew Kevin Sajo, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15115 Amar Rd, La Puente, CA 91744 Phone: 626-918-4700 | |
Salvador Perez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 720 S Woodberry Ln, La Puente, CA 91746 Phone: 626-956-3073 | |
Mrs. Ruquia Dost, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15433 Amar Rd, La Puente, CA 91744 Phone: 626-336-3023 Fax: 626-336-4353 | |
Ms. Tatiana M Guerrero, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1840 N Hacienda Blvd, #3, La Puente, CA 91744 Phone: 626-350-7087 | |
Heidi Zijun Liang, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 503 Peckam Dr, La Puente, CA 91746 Phone: 626-202-8879 | |
Melissa Bustos, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1041 Tonopah Ave, La Puente, CA 91744 Phone: 909-680-7471 |