Siriratsivawong, Rick
Siriratsivawong, Rick is an individual health care provider with primary practice located at 9525 Monte Vista Ave Ste 105 , Montclair CA 91763-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Siriratsivawong, Rick can be contacted via phone (909) 626-1205.Contact Information
Primary practice address
9525 Monte Vista Ave Ste 105
Montclair CA 91763-2231
Phone: (909) 626-1205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A136964 | California |
Profile Details
| NPI number | 1669615902 |
|---|---|
| LBN Legal business name | Siriratsivawong, Rick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Aug 22nd, 2023 - about 3 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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