| Kelvin Mai, D.o., Inc | |
|
1002 N Fairview St Santa Ana CA 92703-1811 | |
| (714) 332-1069 | |
| Not Available |
| Full Name | Kelvin Mai, D.o., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 N Fairview St, Santa Ana, California |
| Authorized Official Name and Position | Sandra Orantes (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3105155004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelvin Mai, D.o., Inc 1002 N Fairview St Santa Ana CA 92703-1811 Ph: (147) 332-1069 | Kelvin Mai, D.o., Inc 1002 N Fairview St Santa Ana CA 92703-1811 Ph: (714) 332-1069 |
| NPI Number | 1437485513 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 09/02/2022 |
| Medicare PECOS PAC ID | 9133259906 |
|---|---|
| Medicare Enrollment ID | O20100605000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437485513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A8944 (California) | Primary |
| Provider Name | Kelvin Mai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326072612 PECOS PAC ID: 4082624929 Enrollment ID: I20060421000495 |
| Provider Name | Quang Binh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982002598 PECOS PAC ID: 1850618406 Enrollment ID: I20150319002523 |
| Provider Name | Ngoc Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891216370 PECOS PAC ID: 7113292459 Enrollment ID: I20171012000851 |
| Provider Name | Phuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811583073 PECOS PAC ID: 9436556925 Enrollment ID: I20210927001294 |
| Provider Name | Khai Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194400929 PECOS PAC ID: 6507220118 Enrollment ID: I20230915000709 |
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