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VIRUCH VACHIRAKORNTONG MD INC NPI 1992754899


NPI Information

NPI: 1992754899
Provider Name: VIRUCH VACHIRAKORNTONG MD INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
15998 QUANTICO RD
SUITE A
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-2271
Get Directions

VIRUCH VACHIRAKORNTONG MD INC is an obstetrics gynecology in Apple 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. VIRUCH VACHIRAKORNTONG MD INC NPI is 1992754899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15998 QUANTICO RD
SUITE A
APPLE VALLEY, CA
ZIP 92307-302
Phone: (760) 242-2271
Fax: (760) 242-4491

The provider's authorized official is Viruch Vachirakorntong .
The authorized official title is President and has the following contact phone number (760) 242-2271.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A526561MEDICARE PINCALIFORNIA
200A526560MEDICARE PINCALIFORNIA
300A526560MEDICAIDCALIFORNIA
4ZZZ02291ZMEDICARE PINCALIFORNIA
5LAB51470FMEDICAIDCALIFORNIA
6CE29OZMEDICARE PINCALIFORNIA
7G09313MEDICARE UPIN
800A526561MEDICAIDCALIFORNIA

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

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