Patthanadettrakul, Kasanu
Patthanadettrakul, Kasanu is an sole proprietor health care provider with primary practice located at 15511 Sherman Way Apt 43 , Van Nuys CA 91406-4156. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Patthanadettrakul, Kasanu can be contacted via phone (949) 524-2555.Contact Information
Primary practice address
15511 Sherman Way Apt 43
Van Nuys CA 91406-4156
Phone: (949) 524-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 243 | California |
Profile Details
| NPI number | 1386397974 |
|---|---|
| LBN Legal business name | Patthanadettrakul, Kasanu |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2022 |
| Last updated | Apr 1st, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386397974 | NPPES |
| California | Other | 10431980 | LA CARE |
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