Pongvarin, Patana
Pongvarin, Patana is an sole proprietor health care provider with primary practice located at 275 Victoria St Ste 1H , Costa Mesa CA 92627-1906. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Pongvarin, Patana can be contacted via phone (949) 629-2862.Contact Information
Primary practice address
275 Victoria St Ste 1H
Costa Mesa CA 92627-1906
Phone: (949) 629-2862
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | VN227571 | California |
Profile Details
| NPI number | 1649762188 |
|---|---|
| LBN Legal business name | Pongvarin, Patana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2018 |
| Last updated | May 31st, 2018 - about 7 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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