Phoeuth Yo Phon
Contractor · Riverside, CA
NPI number
1538286000
Practice location
9707 Magnolia AveRiverside, CA 92503-3609
- Phone
- (951) 358-6858
NPI record
- NPI
- 1538286000
- Entity type
- Individual (Type 1)
- Enumeration date
- March 22, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
Mailing address
PO Box 349Crestline, CA 92325-0349
- Phone
- (951) 840-8765
About Phoeuth Phon
Phoeuth Yo Phon is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 9707 Magnolia Ave, Riverside, CA 92503-3609. The NPI number 1538286000 was assigned on March 22, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Phoeuth Yo Phon?
The NPI number is 1538286000.
What is the phone number of Phoeuth Phon?
The phone number listed for the practice location is (951) 358-6858.
Where is Phoeuth Phon located?
9707 Magnolia Ave, Riverside, CA 92503-3609.
What is the taxonomy code for Phoeuth Phon?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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