National Provider Identifier Database

THANUTTHA TIENSAWANG, RN – NPI #1376703603
Enterostomal Therapy


Contact Information

THANUTTHA TIENSAWANG, RN
21529 SATICOY ST
UNIT #106
CANOGA PARK, CA91304-4958
Phone: 310-478-3711
Fax:
Website:
Specialty Taxonomy Code
* Enterostomal Therapy 163WE0900X

* Indicates primary specialty

NPI Profile & details for THANUTTHA TIENSAWANG

NPI Number 1376703603
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/10/2008
Last updated 06/10/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 545790
Hospital affiliation n/a

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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