Krailas, Witoon S

Krailas, Witoon S is an individual health care provider with primary practice located at 3839 W 1St St Ste B8, Santa Ana CA 92703-4075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Krailas, Witoon S can be contacted via phone (714) 554-8966.

Contact Information

Primary practice address
3839 W 1St St Ste B8 Santa Ana CA 92703-4075
Fax: (714) 554-8988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A33395 California

Profile Details

NPI number 1265432207
LBN Legal business name Krailas, Witoon S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1265432207 NPPES
California MEDICAID 00A333950

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