Individual
VALLOP KANJANAPONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1665 S IMPERIAL AVE, EL CENTRO, CA 92243-4247
(760) 352-7216
(760) 352-1028
Mailing address
1665 S IMPERIAL AVE, EL CENTRO, CA 92243-4247
(760) 352-7216
(760) 352-1028
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33464
MEDICAL LICENSE
CA
Enumeration date
08/16/2005
Last updated
07/08/2007
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