Individual provider · Type 1 NPI
Thai Phou
Surgical Physician Assistant · La Puente, CA
NPI number
1023319746
Active
Practice location
1840 N Hacienda Blvd Ste 12
La Puente, CA 91744-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA21328 (CA) |
| Physician Assistant | 363A00000X | PA21328 (CA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1023319746
Thai Phou's National Provider Identifier is 1023319746, issued on Nov 11, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Puente, CA. The record was last updated on Jan 9, 2026.