Individual provider · Type 1 NPI

Mai Ong Thao

Student in an Organized Health Care Education/Training Program · Represa, CA

NPI number 1003787540 Active

Practice location

100 Prison Rd
Represa, CA 95671-3001

Call (916) 985-8610 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

89 other providers at this address

Other student in an organized health care education/training program providers in Represa

See all in Represa →

About NPI 1003787540

Mai Ong Thao's National Provider Identifier is 1003787540, issued on Sep 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Represa, CA. The record was last updated on May 19, 2026.