Thawat Eosakul,m.d.inc.
NPI #1285955278 in Fontana, California
Provider Information
- NPI Number
- 1285955278
- Entity Type
- Organization
- Organization Name
- Thawat Eosakul,m.d.inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 14, 2010
- Last Updated
- Jun 14, 2010
Practice Location
- Address
- 16860 SEVILLE AVE
- City
- Fontana
- State
- California
- ZIP Code
- 92335-3561
- Phone
- (909) 350-3091
Authorized Official
- Name
- THAWAT EOSAKUL, M.D.
- Title
- PRESIDENT
- Phone
- (909) 350-3091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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