Suor, Piseth

Suor, Piseth is an individual health care provider with primary practice located at 4873 West Ln Ste A , Stockton CA 95210-4548. 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. Suor, Piseth can be contacted via phone (209) 472-1515.

Contact Information

Primary practice address
4873 West Ln Ste A Stockton CA 95210-4548
Phone: (209) 472-1515
Fax: (209) 472-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 17756 California

Profile Details

NPI number 1699054809
LBN Legal business name Suor, Piseth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Aug 5th, 2011 - about 14 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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