1174667919 NPI number — MARGARET THURMAN, MFT

Table of content: MS. HOANG ANH XUAN BUI OD (NPI 1053496836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174667919 NPI number — MARGARET THURMAN, MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARGARET THURMAN, MFT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174667919
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2231 CAMINO DEL RIO S
Provider Second Line Business Mailing Address:
STE 308
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92108-3612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-685-7399
Provider Business Mailing Address Fax Number:
951-245-0309

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2231 CAMINO DEL RIO S
Provider Second Line Business Practice Location Address:
STE 308
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92108-3612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-685-7399
Provider Business Practice Location Address Fax Number:
951-245-0309
Provider Enumeration Date:
02/16/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THURMAN
Authorized Official First Name:
PEGGY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
619-685-7399

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFT23234 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)