Wilaisakditipakorn, Tanaporn Jasmine

Wilaisakditipakorn, Tanaporn Jasmine is an individual health care provider with primary practice located at 2825 50Th St , Sacramento CA 95817-2310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Wilaisakditipakorn, Tanaporn Jasmine can be contacted via phone (917) 703-0300.

Contact Information

Primary practice address
2825 50Th St Sacramento CA 95817-2310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X A180301 California

Profile Details

NPI number 1669835534
LBN Legal business name Wilaisakditipakorn, Tanaporn Jasmine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Aug 30th, 2022 - about 2 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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