Chanuwat M. Suntalus in Claremont - Physician Assistant

Chanuwat M. Suntalus - NPI 1518158047

Chanuwat M. Suntalus is a Physician Assistant in Claremont, California. Chanuwat M. Suntalus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chanuwat M. Suntalus is 1518158047. The last update date is 2022-07-15.

Chanuwat M. Suntalus's current location address is 1601 Monte Vista Ave Ste 190, Claremont, California. You can contact this provider via phone number 9098659977 and fax number 9094692119. The mailing address for Chanuwat M. Suntalus is 1601 Monte Vista Ave Ste 190, Claremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Chanuwat M. Suntalus
Address 1601 Monte Vista Ave Ste 190, Claremont, California
Phone Number 9098659977
Fax Number 9094692119
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1518158047
Provider Enumeration Date 2007-08-08
Last Updated Date 2022-07-15

Provider Mailing Address Detail

Address 1601 Monte Vista Ave Ste 190
City Claremont
State California (CA)
Post Code 917116600
Phone Number 9098659977
Fax Number 9094692119

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA17843
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1518158047 CA --

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FAQs about Chanuwat M. Suntalus

What is the unique identifier code issued to Chanuwat M. Suntalus by the Centers for Medicare & Medicaid Services (CMS)?

The Chanuwat M. Suntalus has been assigned the NPI (National Provider Identifier) 1518158047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Chanuwat M. Suntalus?

The Chanuwat M. Suntalus is situated at 1601 Monte Vista Ave Ste 190, in the city of Claremont, state of CA, with the zip code 917116600.

What is Chanuwat M. Suntalus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Chanuwat M. Suntalus is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Chanuwat M. Suntalus receive its 1518158047 assignment from the Centers for Medicare & Medicaid Services?

The Chanuwat M. Suntalus was assigned its 1518158047 by the Centers for Medicare & Medicaid Services on 2007-08-08.

When was the information regarding Chanuwat M. Suntalus most recently updated?

The details pertaining to the Chanuwat M. Suntalus, including its address, specialty, and other relevant information, were last refreshed on 2022-07-15.

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