Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A33669 | CA |
NPI | 1033225271 |
---|---|
Provider Name | Dr. Cheraphat Lopansri |
First Address | Monterey Park, CA 91754-1700 |
Second Address | Monterey Park, CA 91754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 30/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033225271 | (05) | CA |
C35422 | (02) | CA |