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Individual

DR. SATAPORN MUANG-IN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(732) 618-0711
Mailing address
2436 OCEANVIEW TER, SAN PEDRO, CA 90731-6398
(732) 618-0711

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036119862
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
131455
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316041833
MEDI-CAL
CA
Enumeration date
07/06/2007
Last updated
01/14/2017
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