Provider Demographics
NPI:1215714167
Name:THUYEIN, MADY (MSW-TRAINEE)
Entity type:Individual
Prefix:
First Name:MADY
Middle Name:
Last Name:THUYEIN
Suffix:
Gender:F
Credentials:MSW-TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 WILSHIRE BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2505
Mailing Address - Country:US
Mailing Address - Phone:213-637-5000
Mailing Address - Fax:
Practice Address - Street 1:1107 S GLENDORA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4923
Practice Address - Country:US
Practice Address - Phone:626-653-9913
Practice Address - Fax:626-653-9914
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program