Anocha Suphol is a Orthopedic in Riverside, California. Anocha Suphol practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Anocha Suphol is 1003031899. The last update date is 2007-07-08.
Anocha Suphol's current location address is 4444 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9512743524 and fax number 9512743442. The mailing address for Anocha Suphol is 4444 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anocha Suphol |
|---|---|
| Address | 4444 Magnolia Ave, Riverside, California |
| Phone Number | 9512743524 |
| Fax Number | 9512743442 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1003031899 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4444 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014136 |
| Phone Number | 9512743524 |
| Fax Number | 9512743442 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT27871 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identification code assigned to Anocha Suphol by the Centers for Medicare & Medicaid Services?
The Anocha Suphol has been issued the NPI (National Provider Identifier) 1003031899. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Anocha Suphol located?
The Anocha Suphol is located at 4444 Magnolia Ave, Riverside, CA 925014136.
What is Anocha Suphol's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Anocha Suphol is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003031899 to Anocha Suphol?
The Anocha Suphol received its 1003031899 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information related to Anocha Suphol most recently updated or refreshed?
The details pertaining to the Anocha Suphol, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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