Individual
MR. HANSA WONGPRASERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
847 W CHILDS AVE, MERCED, CA 95341-6862
(866) 682-4842
(877) 436-1488
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(866) 682-4842
(855) 202-9336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A141533
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2013
Last updated
04/15/2019
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