Tangchitnob, Edward Pakorn

Tangchitnob, Edward Pakorn is an individual health care provider with primary practice located at 1135 S Sunset Ave Ste 102 , West Covina CA 91790-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tangchitnob, Edward Pakorn can be contacted via phone (626) 338-5377.

Contact Information

Primary practice address
1135 S Sunset Ave Ste 102 West Covina CA 91790-3937
Phone: (626) 338-5377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A110608 California

Profile Details

NPI number 1396996294
LBN Legal business name Tangchitnob, Edward Pakorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2008
Last updated Jun 29th, 2016 - about 9 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 1396996294 NPPES
California Other 1396996294 PTAN
California Other CB208996 PTAN
California MEDICAID 1063842649 PTAN

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