Siriratsivawong, Kris

Siriratsivawong, Kris is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Siriratsivawong, Kris can be contacted via phone (619) 532-7579.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-7579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 14967 North Dakota

Profile Details

NPI number 1205982592
LBN Legal business name Siriratsivawong, Kris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2007
Last updated Mar 7th, 2018 - 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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