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Organization
VIRUCH VACHIRAKORNTONG MD INC
Active
Organization
VIRUCH VACHIRAKORNTONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRUCH VACHIRAKORNTONG M.D. (PRESIDENT)
(760) 242-2271
Entity
Organization
Contact information
Practice address
15998 QUANTICO RD, SUITE A, APPLE VALLEY, CA 92307-1302
(760) 242-2271
(760) 242-4491
Mailing address
15998 QUANTICO RD, SUITE A, APPLE VALLEY, CA 92307-1302
(760) 242-2271
(760) 242-4491
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A526560
—
CA
05
—
00A526561
—
CA
05
—
LAB51470F
—
CA
Enumeration date
05/08/2006
Last updated
11/09/2009
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