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Individual

SIRI HONGSATHAVIJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3712 WHITTIER BLVD, LOS ANGELES, CA 90023-1733
(626) 372-9549
Mailing address
3712 WHITTIER BLVD, LOS ANGELES, CA 90023-1733
(626) 372-9549

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37240
CA

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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