Individual
DR. VICHARN PIMATUKARNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FIFTH STREET AT WESTERN, NORCO, CA 92860
(951) 273-2371
(951) 273-2363
Mailing address
13752 HEDDA CIR, CERRITOS, CA 90703-6343
(562) 483-1081
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A34926
CA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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