Doctor profile · Federal record
Dr. Mimi Theerathada, DMD
Dentist · Westminster, CA
- NPI 1528256369
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9972 Bolsa Ave, 102
Westminster, CA 926836069
(714) 839-3112
fax (714) 839-3223
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- February 21, 2017
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #56371
- Medicaid
- CA #56371
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528256369. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $30.00 |
By nature of payment
Frequently asked questions
What is Dr. Mimi Theerathada's medical specialty?
Dr. Mimi Theerathada practices Dentist in Westminster, CA.
Where does Dr. Mimi Theerathada practice?
Dr. Mimi Theerathada practices at 9972 Bolsa Ave, Westminster, CA 926836069. Office phone: 7148393112.
What is Dr. Mimi Theerathada's NPI?
Dr. Mimi Theerathada's National Provider Identifier (NPI) is 1528256369, issued by NPPES.