Basic Information
| Provider Information | |||||||||
| NPI: | 1659519254 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANH TU LA MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13001 MALENA DR | ||||||||
| Address2: | |||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927051801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7609484956 | ||||||||
| FaxNumber: | 7609484956 | ||||||||
| Practice Location | |||||||||
| Address1: | 10900 WARNER AVE | ||||||||
| Address2: | SUITE 101A | ||||||||
| City: | FOUNTAIN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927083846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148870150 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2009 | ||||||||
| LastUpdateDate: | 02/04/2009 | ||||||||
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| AuthorizedOfficialLastName: | LA | ||||||||
| AuthorizedOfficialFirstName: | ANHTU | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7609484956 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | G82125 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.