Individual
BUNGORN BOONSURMSUWONGSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W. MURRAY AVE, VISALIA, CA 93291-4859
(559) 636-3459
Mailing address
601 W. MURRAY AVE, VISALIA, CA 93291-4859
(559) 636-3459
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A37720
CA
208D00000X
General Practice Physician
A37720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A377201
—
CA
Enumeration date
10/02/2006
Last updated
09/11/2025
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