Chuenkasamekul, Yanisa

Chuenkasamekul, Yanisa is an individual health care provider with primary practice located at 500 W San Bernardino Rd Ste A , Covina CA 91722-3797. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Chuenkasamekul, Yanisa can be contacted via phone (626) 966-1909.

Contact Information

Primary practice address
500 W San Bernardino Rd Ste A Covina CA 91722-3797
Phone: (626) 966-1909
Fax: (626) 209-0331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X PA57288 California

Profile Details

NPI number 1184266678
LBN Legal business name Chuenkasamekul, Yanisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2019
Last updated Jun 23rd, 2020 - about 5 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 1184266678 NPPES
California Other 542109211 TAX ID

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