TINA HUTTAYASOMBOON

LOS ANGELES, CA
NPI1942632609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  21685)
Enumeration Date2013-08-05
Last Update Date2014-02-19
Business Address
Mrs. TINA HUTTAYASOMBOON NP
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number: 323-409-7791
Mailing Address
Mrs. TINA HUTTAYASOMBOON NP
1100 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-409-7791