Phatiphong, Kwonta

Phatiphong, Kwonta is an sole proprietor health care provider with primary practice located at 2008 N Garey Ave , Pomona CA 91767-2722. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Phatiphong, Kwonta can be contacted via phone (909) 623-6131.

Contact Information

Primary practice address
2008 N Garey Ave Pomona CA 91767-2722
Phone: (909) 623-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 96278 California

Profile Details

NPI number 1003288564
LBN Legal business name Phatiphong, Kwonta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2015
Last updated Jul 21st, 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.

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