Chuenkasamekul, Yanisa
Chuenkasamekul, Yanisa is an individual health care provider with primary practice located at 500 W San Bernardino Rd Ste A , Covina CA 91722-3797. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Chuenkasamekul, Yanisa can be contacted via phone (626) 966-1909.Contact Information
Primary practice address
500 W San Bernardino Rd Ste A
Covina CA 91722-3797
Phone: (626) 966-1909
Fax: (626) 209-0331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | PA57288 | California |
Profile Details
| NPI number | 1184266678 |
|---|---|
| LBN Legal business name | Chuenkasamekul, Yanisa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2019 |
| Last updated | Jun 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184266678 | NPPES |
| California | Other | 542109211 | TAX ID |
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