Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAI PHOU
ActiveTHAI PHOU is a Surgical Physician Assistant healthcare provider located in LA PUENTE, California. NPI 1023319746 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LA PUENTE, CA
Registration Details
- NPI Number
- 1023319746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2010 (15.574182208939 yrs)
- Last Updated
- Jan 9, 2026
- Licenses
-
PA21328 (CA)PA21328 (CA)
Practice Information
- Address
-
1840 N HACIENDA BLVD STE 12LA PUENTE, CA, 917441143Browse CA providers · Browse ZIP 91744
- Phone
- 9168485412
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.