Organization
SORNYA PONRARTANA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORNYA PONRARTANA M.D. (MD)
(714) 839-6611
Entity
Organization
Contact information
Practice address
3526 W 1ST ST, SANTA ANA, CA 92703-3302
(714) 839-6611
(714) 839-6612
Mailing address
3526 W 1ST ST, SANTA ANA, CA 92703-3302
(714) 839-6611
(714) 839-6612
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A102825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567039
—
CA
Enumeration date
05/21/2012
Last updated
05/21/2012
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