Wongworawat, Amnart A

Wongworawat, Amnart A is an individual health care provider with primary practice located at 41715 Winchester Rd Suite #201A, Temecula CA 92590-4808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Wongworawat, Amnart A can be contacted via phone (951) 699-9201.

Contact Information

Primary practice address
41715 Winchester Rd Suite #201A Temecula CA 92590-4808
Phone: (951) 699-9201
Fax: (951) 699-9205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A74446 California

Profile Details

NPI number 1245264639
LBN Legal business name Wongworawat, Amnart A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1245264639 NPPES
California MEDICAID 00A744460

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