Individual
YAN CHEN WONGWORAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH-PATHOLOGY, LOMA LINDA, CA 92354-2804
(909) 558-4094
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A163994
CA
Other
Enumeration date
04/05/2017
Last updated
07/17/2023
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