Individual
AMNART A WONGWORAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41715 WINCHESTER RD, SUITE #201A, TEMECULA, CA 92590-4808
(951) 699-9201
(951) 699-9205
Mailing address
41715 WINCHESTER RD, SUITE #201A, TEMECULA, CA 92590-4808
(951) 699-9201
(951) 699-9205
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A74446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A744460
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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