Individual
DR. VILASINEE MORKJAROENPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20932 BROOKHURST ST, 105, HUNTINGTON BEACH, CA 92646-6638
(714) 962-2497
(714) 962-2537
Mailing address
20932 BROOKHURST ST 105, HUNTINGTON BEACH, CA 92646-6686
(714) 962-2497
(714) 962-2537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A76702
CA
207RP1001X
Pulmonary Disease Physician
Primary
A76702
CA
Other
Enumeration date
06/03/2006
Last updated
11/07/2016
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