Sakounphong, Arounratsami

Sakounphong, Arounratsami is an individual health care provider with primary practice located at 1574 W Base Line St Ste 107 , San Bernardino CA 92411-1736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sakounphong, Arounratsami can be contacted via phone (909) 386-1880.

Contact Information

Primary practice address
1574 W Base Line St Ste 107 San Bernardino CA 92411-1736
Phone: (909) 386-1880
Fax: (909) 386-1882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16271 California

Profile Details

NPI number 1275553760
LBN Legal business name Sakounphong, Arounratsami
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Sep 18th, 2019 - about 6 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 1275553760 NPPES
California MEDICAID PA16271

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