Oudom, Phaysane
Oudom, Phaysane is an individual health care provider with primary practice located at 7862 El Cajon Blvd , La Mesa CA 91941-3625. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Oudom, Phaysane can be contacted via phone (619) 644-6452.Contact Information
Primary practice address
7862 El Cajon Blvd
La Mesa CA 91941-3625
Phone: (619) 644-6452
Fax: (619) 466-7528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 32527 | California |
Profile Details
| NPI number | 1265658405 |
|---|---|
| LBN Legal business name | Oudom, Phaysane |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| 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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