Thai Phou
Thai Phou is a Surgical Physician Assistant in LA Puente, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1840 N Hacienda Blvd Ste 12LA Puente, CA 91744-1143
Phone: (916) 848-5412
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA21328 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA21328 (CA) |
Record details
| NPI number | 1023319746 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 11, 2010 |
| Last updated in NPPES | January 9, 2026 |
| Certification date | January 9, 2026 |
| Mailing address | 1840 N Hacienda Blvd Ste 12, La Puente, CA 91744-1143 |