Search › California › 183500000X
Mark Bounthavong, PHARM.D
NPI 1720272578 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3350 La Jolla Village Dr # 119
San Diego, CA 92161 - Phone
- (858) 552-8585
- Fax
- (858) 552-7522
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-04
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