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Individual

CHUTCHATORN PIMSUPARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1610 W EDINGER AVE STE B, SANTA ANA, CA 92704-4339
(714) 641-1610
Mailing address
1610 W EDINGER AVE STE B, SANTA ANA, CA 92704-4339
(714) 641-1610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60765
CA

Other

Enumeration date
03/03/2022
Last updated
09/22/2025
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