Tantamjarik, Srivimol

Tantamjarik, Srivimol is an individual health care provider with primary practice located at 1610 W Edinger Ave Ste B , Santa Ana CA 92704-4339. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tantamjarik, Srivimol can be contacted via phone (714) 641-1610.

Contact Information

Primary practice address
1610 W Edinger Ave Ste B Santa Ana CA 92704-4339
Phone: (714) 641-1610
Fax: (714) 641-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A31595 California

Profile Details

NPI number 1508828856
LBN Legal business name Tantamjarik, Srivimol
Credentials M.D., F.A.A.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508828856 NPPES
California Other A31595 PHYSICIAN LICENSE

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