Provider Demographics
NPI:1457494957
Name:ROTUNDA, THUY DIEU (MD)
Entity type:Individual
Prefix:
First Name:THUY
Middle Name:DIEU
Last Name:ROTUNDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 QUAIL ST STE 100A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2702
Mailing Address - Country:US
Mailing Address - Phone:949-608-9659
Mailing Address - Fax:949-608-9659
Practice Address - Street 1:1100 QUAIL ST STE 100A
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2702
Practice Address - Country:US
Practice Address - Phone:949-608-9659
Practice Address - Fax:949-608-9659
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA860962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry