Search › California › 183500000X
Su Thai
NPI 1124369467 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1700 W Glenoaks Blvd
Glendale, CA 91201 - Phone
- (818) 507-0625
- Fax
- (818) 242-0867
- Organisation at this address
- Three Wise Men, Inc.
Three Wise Men, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California