Individual
DR. ATIPON KANGWANPORNSIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6354
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A118291
CA
207RN0300X
Nephrology Physician
36759
SC
Other
Enumeration date
07/24/2007
Last updated
06/30/2021
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