Thawat Eosakul,m.d.inc.

NPI 1285955278 - Clinic/Center - 261Q00000X

NPI Details
NPI 1285955278
Enumeration Date 06/14/2010
Last Updated 06/14/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THAWAT THAWAT
Position PRESIDENT
Phone (909) 350-3091
Fax (909) 350-1172
Practice Location
16860 SEVILLE AVE
FONTANA CA, 92335-3561, US
Phone (909) 350-3091
Fax (909) 350-1172
Business Location
16860 SEVILLE AVE
FONTANA CA, 92335-3561, US
Phone (909) 350-3091
Fax (909) 350-1172
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number A32349
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According to our database, Thawat Eosakul,m.d.inc. NPI is 1285955278, taxonomy code is 261Q00000X and license number is A32349, license state is located at California. Thawat Eosakul,m.d.inc. physically located at 16860 Seville Ave, Fontana CA, 92335-3561. NPI Number 1033115704 has the healthcare provider type.

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1285955278 NPI number is provided on an as is basis without warranty of any kind. 1285955278 is maintained by the National Plan & Provider Enumeration System. The contents of Thawat Eosakul,m.d.inc. are for informational purposes only.