Keovilay, Phoudong

Keovilay, Phoudong is an individual health care provider with primary practice located at 18300 Ca-18 1St Floor , Apple Valley CA 92307. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keovilay, Phoudong can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Ca-18 1St Floor Apple Valley CA 92307
Phone: (760) 242-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1790330850
LBN Legal business name Keovilay, Phoudong
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2019
Last updated May 5th, 2022 - about 4 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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