Michelle Sriwongtong
Family Doctor - Sports Medicine
834 Castro St 3
San Francisco
, California 94114-2858
Michelle Sriwongtong
Family Doctor - Sports Medicine
834 Castro St 3
San Francisco
, California 94114-2858
(323) 362-1010
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Michelle Sriwongtong
- 245 S Fetterly Ave
- Los Angeles, CA
- Zip : 90022-1605
- Phone : (323) 362-1010
Second Address
- Michelle Sriwongtong
- 834 Castro St 3
- San Francisco, CA
- Zip : 94114-2858
- Phone : (415) 940-0264
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 145266 | CA |
National Provider Identifier
| NPI | 1114313616 |
|---|---|
| Provider Name | Michelle Sriwongtong |
| First Address | Los Angeles, CA 90022-1605 |
| Second Address | San Francisco, CA 94114-2858 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2015 |
| Last Update Date | 19/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.