Individual
BOONMA PHOMMALAYVANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8218 9TH ST, RANCHO CUCAMONGA, CA 91730-5031
(909) 731-6206
Mailing address
8218 9TH ST, RANCHO CUCAMONGA, CA 91730-5031
(909) 731-6206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us