Search › California › 163W00000X
Panomphay Sangvone
NPI 1649464942 · on the registry since 2007
Practice
- Address
- 3860 Bluff St
Perris, CA 92571 - Phone
- (951) 990-5875
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-29
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