Phipatanakul, Wesley P

Phipatanakul, Wesley P is an individual health care provider with primary practice located at 25455 Barton Rd Suite 102B, Loma Linda CA 92354-3128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Phipatanakul, Wesley P can be contacted via phone (909) 558-2808.

Contact Information

Primary practice address
25455 Barton Rd Suite 102B Loma Linda CA 92354-3128
Phone: (909) 558-2808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A81135 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A81135 California

Profile Details

NPI number 1932135654
LBN Legal business name Phipatanakul, Wesley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated May 30th, 2023 - about 2 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 1932135654 NPPES
California MEDICAID 00A811350

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