Vassantachart, Prasert Basil

Vassantachart, Prasert Basil is an individual health care provider with primary practice located at 841 W Valley Blvd Suite 104, Alhambra CA 91803-3251. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vassantachart, Prasert Basil can be contacted via phone (626) 282-3113.

Contact Information

Primary practice address
841 W Valley Blvd Suite 104 Alhambra CA 91803-3251
Phone: (626) 282-3113
Fax: (626) 289-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G44008 California

Profile Details

NPI number 1295720050
LBN Legal business name Vassantachart, Prasert Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated May 16th, 2011 - about 13 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 1295720050 NPPES
California MEDICAID 00G440080

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