Search › California › 164X00000X
Davon Phomvongsa
NPI 1538321534 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2122 Corte Plata Espuela
Alpine, CA 91901 - Phone
- (619) 659-0966
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-06-30
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