Organization
SOMBATH SENETHONG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMBATH SENETHONG M.D. (DIRECTOR)
(619) 262-8626
Entity
Organization
Contact information
Practice address
1748 EUCLID AVE, SAN DIEGO, CA 92105-5415
(619) 262-8626
(619) 262-8620
Mailing address
1748 EUCLID AVE, SAN DIEGO, CA 92105-5415
(619) 262-8626
(619) 262-8620
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
208D00000X
CA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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