Mr. Joe Potchanard Chauvapun
Family Doctor - Addiction Medicine Vascular Surgeon
15030 7th St
Victorville
, California 92395-3811
Mr. Joe Potchanard Chauvapun
Family Doctor - Addiction Medicine Vascular Surgeon
15030 7th St
Victorville
, California 92395-3811
(760) 951-5382
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mr. Joe Potchanard Chauvapun
- 15030 7th St Department Of Surgery
- Victorville, CA
- Zip : 92395-3811
- Fax : (760) 951-5382
- Phone : (760) 951-0065
Second Address
- Mr. Joe Potchanard Chauvapun
- 15030 7th St
- Victorville, CA
- Zip : 92395-3811
- Fax : (760) 951-5382
- Phone : (760) 951-0065
Reviews
FAQs
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Is Mr. Joe Potchanard Chauvapun a sole practitioner?
Is Mr. Joe Potchanard Chauvapun accepting new patients?
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Does Mr. Joe Potchanard Chauvapun have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | A104925 | CA |
| Y | 2086S0129X | Vascular Surgeon | A104925 | CA |
National Provider Identifier
| NPI | 1487842597 |
|---|---|
| Provider Name | Mr. Joe Potchanard Chauvapun |
| First Address | Victorville, CA 92395-3811 |
| Second Address | Victorville, CA 92395-3811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2007 |
| Last Update Date | 19/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| M050376 | GROUP (01) | CA |
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.