Wongrakpanich, Supakanya
Wongrakpanich, Supakanya is an individual health care provider with primary practice located at 25455 Barton Rd Ste 204B , Loma Linda CA 92354-3130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wongrakpanich, Supakanya can be contacted via phone (909) 958-6600.Contact Information
Primary practice address
25455 Barton Rd Ste 204B
Loma Linda CA 92354-3130
Phone: (909) 958-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT206363 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A153678 | California |
Profile Details
| NPI number | 1568877413 |
|---|---|
| LBN Legal business name | Wongrakpanich, Supakanya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2014 |
| Last updated | Mar 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568877413 | NPPES |
| Other | - | INTERNAL MEDICINE |
Popular Providers
-
Sheikh, Afzal Mohammed
11234 Anderson St Ste 1516 , Loma Linda CA 92354-2804 -
Huynh, Bichtram
11234 Anderson St , Loma Linda CA 92350-1838 -
Kim, Ellen Sohyun
11234 Anderson St # Mc-1516 , Loma Linda CA 92354-2804 -
Wonoprabowo, Jeffrey
11234 Anderson St Gme Office Csp 21005, Loma Linda CA 92350-1716 -
Sy, Alexander Ong
11201 Benton St , Loma Linda CA 92357-0001 -
Lobo Moreno, Pamela Maria
11370 Anderson St Ste 3600 , Loma Linda CA 92354 -
Rahmanian, Samira
11234 Anderson St # Mc1590 , Loma Linda CA 92354-2804 -
Tadiarca, Drew Stephen
11234 Anderson St , Loma Linda CA 92354-2804