AUSTIN VANNATH PLONG

HUNTINGTON PARK, CA
NPI1366622433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  15560)
Enumeration Date2007-11-06
Last Update Date2007-11-06
Business Address
-- AUSTIN VANNATH PLONG PA-C
2661 E FLORENCE AVE SUITE D-1
HUNTINGTON PARK, CA 90255-4793
Phone number: 323-588-6113
Mailing Address
-- AUSTIN VANNATH PLONG PA-C
2661 E FLORENCE AVE SUITE D-1
HUNTINGTON PARK, CA 90255-4793
Phone number: 323-588-6113