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Organization
SITTIPORN BOONTUNG, M.D. INC.
Active
Organization
SITTIPORN BOONTUNG, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SITTIPORN BOONTUNG M.D. (PHYSICIAN)
(310) 530-6264
Entity
Organization
Contact information
Practice address
23000 CRENSHAW BLVD, SUITE 200, TORRANCE, CA 90505-3052
(310) 530-6264
(310) 530-0709
Mailing address
23000 CRENSHAW BLVD, SUITE 200, TORRANCE, CA 90505-3052
(310) 530-6264
(310) 530-0709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A25148
CA
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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