VISITH PRIN MD A PROFESSIONAL CORP NPI 1972824118

NPI Information

  • NPI: 1972824118
  • Provider Name: VISITH PRIN MD A PROFESSIONAL CORP
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 11441 HEACOCK ST STE B1
    MORENO VALLEY, CA
    ZIP 92557
  • Phone: (951) 924-1906

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NPI Details

VISITH PRIN MD A PROFESSIONAL CORP is an obstetrics gynecology in Moreno Valley, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. VISITH PRIN MD A PROFESSIONAL CORP NPI is 1972824118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11441 HEACOCK ST STE B1
MORENO VALLEY, CA
ZIP 92557-907
Phone: (951) 924-1906

The provider's authorized official is Visith Priromprintr .
The authorized official title is Owner and has the following contact phone number (951) 924-1906.

The enumeration date for this NPI number is 6/22/2010 and was last updated on 1/17/2012.

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
1207V00000XObstetrics & GynecologyA40164CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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