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
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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