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Contact Information

BUNSRI THANASOPHON, MD
285 EAST 24TH STREET
UPLAND, CA91784
 Phone: 909-946-8213
 Fax: 909-946-8213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BUNSRI THANASOPHON · (Male)

NPI Number 1508132051
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A29667
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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