Veena Kulchaiyawat Bhatarakamol D.O.

NPI 1073830964 - Family Medicine - 207Q00000X

NPI Details
NPI 1073830964
Gender Female
Enumeration Date 05/01/2010
Last Updated 09/10/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1255 W ARROW HWY
SAN DIMAS CA, 91773-2340, US
Phone (800) 780-1277
Fax
Business Location
1255 W ARROW HWY
SAN DIMAS CA, 91773-2340, US
Phone (800) 780-1277
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 20A12126
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According to our database, Veena Kulchaiyawat Bhatarakamol D.O. NPI is 1073830964, taxonomy code is 207Q00000X and license number is 20A12126, license state is located at California. Veena Kulchaiyawat Bhatarakamol D.O. physically located at 1255 W Arrow Hwy, San Dimas CA, 91773-2340. NPI Number Veena Kulchaiyawat Bhatarakamol D.O. has the Individual type.

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1073830964 NPI number is provided on an as is basis without warranty of any kind. 1073830964 is maintained by the National Plan & Provider Enumeration System. The contents of Veena Kulchaiyawat Bhatarakamol D.O. are for informational purposes only.