Individual
PETE POW-ANPONGKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 698-0300
(714) 698-0313
Mailing address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 698-0300
(714) 698-0313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A144575
CA
207RH0000X
Hematology (Internal Medicine) Physician
A144575
CA
207RH0003X
Hematology & Oncology Physician
Primary
A144575
CA
207RX0202X
Medical Oncology Physician
A144575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA477475
MEDICARE
CA
01
—
CA477476
MEDICARE
CA
01
—
CB375979
MEDICARE
CA
Enumeration date
04/22/2015
Last updated
08/12/2021
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