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Contact Information

PAIBOON PLOOKVONGPANIT, CCP
401 E HIGHLAND AVE
SUITE 251
SAN BERNARDINO, CA92404-3803
 Phone: 909-881-1614
 Fax: 909-881-2711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist Cardiovascular

246X00000X
Indicates primary specialty

NPI Profile & details for PAIBOON PLOOKVONGPANIT · (Male)

NPI Number 1932252681
Status Active
Credentials CCP
Entity Individual
Enumeration date 01/18/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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