Organization
BOONSONG ANAN, M.D., INC
Active
Other names
Boonsong Anan, M.D.,INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOONSONG ANAN M.D. (MEDICAL DOCTOR)
(909) 627-8522
Entity
Organization
Contact information
Practice address
5365 WALNUT AVE, SUITE P, CHINO, CA 91710-2622
(909) 627-8521
(909) 563-8202
Mailing address
5365 WALNUT AVE, SUITE P, CHINO, CA 91710-2622
(909) 627-8521
(909) 563-8202
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A316890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A316890
—
CA
Enumeration date
05/04/2007
Last updated
11/16/2007
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