Organization
CLOE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN PIRAKITIKULR MD (OWNER/PHYSICIAN)
(858) 500-5851
Entity
Organization
Contact information
Practice address
531 N HIGHWAY 101, SOLANA BEACH, CA 92075-1132
(858) 500-5851
(858) 529-9953
Mailing address
531 N HIGHWAY 101, SOLANA BEACH, CA 92075-1132
(858) 500-5851
(858) 529-9953
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
12/07/2023
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