Individual
DR. BEN TANTAYANUBUTR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43112 15TH ST W, LANCASTER, CA 93534-6219
(818) 375-2809
Mailing address
43112 15TH ST W, LANCASTER, CA 93534-6219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A95887
CA
Other
Enumeration date
09/20/2007
Last updated
12/06/2021
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