Chauvapun, Joe Potchanard

Chauvapun, Joe Potchanard is an individual health care provider with primary practice located at 15030 7Th St , Victorville CA 92395-3811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Chauvapun, Joe Potchanard can be contacted via phone (760) 951-0065.

Contact Information

Primary practice address
15030 7Th St Victorville CA 92395-3811
Phone: (760) 951-0065
Fax: (760) 951-5382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X A104925 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A104925 California

Profile Details

NPI number 1487842597
LBN Legal business name Chauvapun, Joe Potchanard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Jan 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487842597 NPPES
California Other M050376 GROUP

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