Individual
DARIT THIENPRASIT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2636
(310) 900-7420
(310) 603-6586
Mailing address
PO BOX 969090, SAN DIEGO, CA 92196-9090
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A36642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A366420
—
CA
01
—
A36642
MEDICAL LICENSE
CA
Enumeration date
06/10/2006
Last updated
07/08/2007
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