MONY PHEACHNAK SON

NORTHRIDGE, CA
NPI1710624465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: CA  A21867)
Enumeration Date2022-05-15
Last Update Date2025-09-02
Business Address
-- MONY PHEACHNAK SON D.O.
18460 ROSCOE BLVD FL 3
NORTHRIDGE, CA 91325-4107
Phone number: 818-885-5480
Mailing Address
-- MONY PHEACHNAK SON D.O.
3400 DATA DR ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
RANCHO CORDOVA, CA 95670
Phone number:
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