Mekpongsatorn, Bert

Mekpongsatorn, Bert is an sole proprietor health care provider with primary practice located at 13012 Valleyheart Dr 1, Studio City CA 91604-1975. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Mekpongsatorn, Bert can be contacted via phone (818) 674-0732.

Contact Information

Primary practice address
13012 Valleyheart Dr 1 Studio City CA 91604-1975
Phone: (818) 674-0732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 710647 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4101 California

Profile Details

NPI number 1356633374
LBN Legal business name Mekpongsatorn, Bert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2011
Last updated Sep 28th, 2011 - about 14 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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