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Ekkaphot Phanthong
NPI 1306545413 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1790 Ellis St Apt 24
Concord, CA 94520 - Phone
- (443) 236-6919
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California