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Mikey Thanteraphong

NPI 1437795333 · on the registry since 2019 · sole proprietor

Practice

Address: 2845 Cochran St Ste B
Simi Valley, CA 93065
Phone: (818) 835-7355
Organisation at this address: Rpmd Medical, Pc
Edu Advanced Nursing, Inc
Marsden & Leung A Professional Corporation
Vicki Leung, O.D., A Professional Corporation
Leung, Marsden, And Wald, A Professional Optometric Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-25

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