Individual
NICOLAS LIMTHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 N BRENT ST STE 101, VENTURA, CA 93003-2818
(805) 722-2468
(848) 260-2833
Mailing address
148 N BRENT ST STE 101, VENTURA, CA 93003-2818
(805) 722-2468
(848) 260-2833
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A132915
CA
Other
Enumeration date
05/03/2013
Last updated
08/12/2021
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