Individual
BOBBY SINSONGSERM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 562-3321
Mailing address
13724 EL ESPEJO RD, LA MIRADA, CA 90638-3718
(562) 447-6307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002365
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2019
Last updated
12/07/2021
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