Individual
MR. EPHRAIM CAPONONG PONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8240 SOUTH BROADWAY, WHITTIER, CA 90606
(562) 908-3119
(562) 908-0553
Mailing address
9150 EAST IMPERIAL HIGHWAY, ROOM P31, DOWNEY, CA 90242
(562) 940-3694
(562) 658-4725
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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