Somphonphakdy, Andrew Phetaroun
Somphonphakdy, Andrew Phetaroun is an sole proprietor health care provider with primary practice located at 13229 Edwards Rd , La Mirada CA 90638-1823. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Somphonphakdy, Andrew Phetaroun can be contacted via phone (562) 587-0978.Contact Information
Primary practice address
13229 Edwards Rd
La Mirada CA 90638-1823
Phone: (562) 587-0978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X |
Profile Details
| NPI number | 1225793987 |
|---|---|
| LBN Legal business name | Somphonphakdy, Andrew Phetaroun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2021 |
| Last updated | Nov 7th, 2021 - about 4 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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