Individual
CHATRATHIP NASONGKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 227-1710
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 227-1710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A22076
CA
Other
Enumeration date
04/18/2020
Last updated
04/11/2025
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