Individual
JUTHARAT J. PATTANACHINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2655 1ST ST, #325, SIMI VALLEY, CA 93065-1547
(805) 206-2000
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A34191
CA
Other
Enumeration date
10/17/2005
Last updated
04/19/2021
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