Montri D Wongworawat
Orthopaedic Hand Surgeon
11370 Anderson St Suite 1500
Loma Linda
, California 92354-3450
Montri D Wongworawat
Orthopaedic Hand Surgeon
11370 Anderson St Suite 1500
Loma Linda
, California 92354-3450
(909) 558-3111
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About
Features
Specialties
- Orthopaedic Hand Surgeon
Languages spoken
- English
Location
First Address
- Montri D Wongworawat
- File Number 54701
- Los Angeles, CA
- Zip : 90074-0001
- Phone : (909) 558-3111
Second Address
- Montri D Wongworawat
- 11370 Anderson St Suite 1500
- Loma Linda, CA
- Zip : 92354-3450
- Phone : (909) 558-2802
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0106X | Orthopaedic Hand Surgeon | A62977 | CA |
National Provider Identifier
| NPI | 1235175035 |
|---|---|
| Provider Name | Montri D Wongworawat |
| First Address | Los Angeles, CA 90074-0001 |
| Second Address | Loma Linda, CA 92354-3450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 14/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A629770 | (05) | CA |
| H60355 | (02) |
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.