SearchCalifornia152W00000X

Kosol Vipapan, O.D

NPI 1366552432 · on the registry since 2006 · sole proprietor

Practice

Address
1136 E Green St
Pasadena, CA 91106
Phone
(626) 792-9979

Additional practice sites

  • 1136 E Green St, Pasadena, CA
  • 230 S Lake Ave, Pasadena, CA

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-16

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