Siriwat, P.Penny

Siriwat, P.Penny is an sole proprietor health care provider with primary practice located at 515 S Beach Blvd Suite C, Anaheim CA 92804-1812. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Siriwat, P.Penny can be contacted via phone (714) 527-9006.

Contact Information

Primary practice address
515 S Beach Blvd Suite C Anaheim CA 92804-1812
Phone: (714) 527-9006
Fax: (714) 527-5681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 32994 California

Profile Details

NPI number 1730266974
LBN Legal business name Siriwat, P.Penny
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730266974 NPPES
California MEDICAID B32994-01
California Other CGP#169380
California Other 32994
California MEDICAID B32994-02

Popular Providers