Suntalus, Chanuwat M.

Suntalus, Chanuwat M. is an sole proprietor health care provider with primary practice located at 1601 Monte Vista Ave Ste 190 , Claremont CA 91711-6600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Suntalus, Chanuwat M. can be contacted via phone (909) 865-9977.

Contact Information

Primary practice address
1601 Monte Vista Ave Ste 190 Claremont CA 91711-6600
Phone: (909) 865-9977
Fax: (909) 469-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17843 California

Profile Details

NPI number 1518158047
LBN Legal business name Suntalus, Chanuwat M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Jul 15th, 2022 - about 3 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 1518158047 NPPES
California MEDICAID 1518158047

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