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Organization
CLARVIDA
Active
Organization
CLARVIDA
Active
Parent organization
LENA THONGDARA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LENA THONGDARA
Authorized official
LENA THONGDARA (INTERN)
(714) 254-8473
Entity
Organization
Contact information
Practice address
1501 E ORANGETHORPE AVE STE 200, FULLERTON, CA 92831-5205
(714) 254-8473
(714) 254-8480
Mailing address
1501 E ORANGETHORPE AVE STE 200, FULLERTON, CA 92831-5205
(714) 254-8473
(714) 254-8480
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
07/01/2026
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