Individual
CHARINDA CHAROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9301 CENTRAL AVE STE 201, MONTCLAIR, CA 91763-2446
(909) 925-5567
(909) 621-4900
Mailing address
9301 CENTRAL AVE STE 201, MONTCLAIR, CA 91763-2446
(909) 925-5567
(909) 621-4900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17704
CA
Other
Enumeration date
04/22/2011
Last updated
10/25/2021
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