BAGIENG KEOPHIMPHONE

TORRANCE, CA
NPI1659174134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-31
Last Update Date2025-03-31
Business Address
BAGIENG KEOPHIMPHONE MD
1000 W CARSON ST # 10
TORRANCE, CA 90502-2059
Phone number: 424-306-8008
Mailing Address
BAGIENG KEOPHIMPHONE MD
2697 OMAHA AVE
CLOVIS, CA 93619-8478
Phone number: 559-765-1046
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