BOONSONG ANAN M.D. NPI 1639189020

NPI Information

NPI: 1639189020
Provider Name: BOONSONG ANAN, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
5365 WALNUT AVE
SUITE P
CHINO, CA
ZIP 91710
Phone: (909) 627-8521
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Boonsong Anan, M.D. is an urology in Chino, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Boonsong Anan, M.D. NPI is 1639189020. 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:

5365 WALNUT AVE
SUITE P
CHINO, CA
ZIP 91710-622
Phone: (909) 627-8521
Fax: (909) 563-8202

The enumeration date for this NPI number is 8/8/2006 and was last updated on 11/16/2007.

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	208800000X	Urology		A316890	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A26573	MEDICARE UPIN	CALIFORNIA
2	00A316890	MEDICARE PIN	CALIFORNIA
3	A316890	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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