MR. THANUTTHA TIENSAWANG R.N. NPI 1376703603

NPI Information

NPI: 1376703603
Provider Name: MR. THANUTTHA TIENSAWANG, R.N.
Classification: Registered Nurse - 163WE0900X
Entity Type: Individual

Specialization: Enterostomal Therapy

Address:
21529 SATICOY ST
UNIT #106
CANOGA PARK, CA
ZIP 91304
Phone: (310) 478-3711
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MR. Thanuttha Tiensawang, R.N. is an enterostomal therapy registered nurse in Canoga Park, CA. MR. Thanuttha Tiensawang, R.N. NPI is 1376703603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21529 SATICOY ST
UNIT #106
CANOGA PARK, CA
ZIP 91304-958
Phone: (310) 478-3711

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0900X	Registered Nurse	Enterostomal Therapy	545790	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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