Individual
DR. PRASERT BASIL VASSANTACHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 W VALLEY BLVD, SUITE 104, ALHAMBRA, CA 91803-3251
(626) 282-3113
(626) 289-9179
Mailing address
841 W VALLEY BLVD, SUITE 104, ALHAMBRA, CA 91803-3251
(626) 282-3113
(626) 289-9179
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G44008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G440080
—
CA
Enumeration date
09/16/2005
Last updated
05/16/2011
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