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BOONSONG ANAN M.D.
>> Urology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1639189020
Individual Registrant: BOONSONG ANAN M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5365 WALNUT AVE SUITE P CHINO, CA 91710-2622 US
Tel: 909-627-8521 Fax: 909-563-8202
Tel: 909-627-8521 Fax: 909-563-8202
Contact information for business:
5365 WALNUT AVE SUITE P CHINO, CA 91710-2622 US
Tel: 909-627-8521 Fax: 909-563-8202
Tel: 909-627-8521 Fax: 909-563-8202
Registration Information:
NPI: 1639189020
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208800000X | Allopathic & Osteopathic Physicians Urology | CA | A316890 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| A316890 | CA | 05 |
