Search › California › 207RI0200X
Pornthep Wattanamano, MD
NPI 1295738516 · on the registry since 2005
Practice
- Address
- 3335 Riviera Dr
San Diego, CA 92109 - Phone
- (713) 384-3229
Registry record
- Primary taxonomy
- 207RI0200X
207RI0200X
- Also registered as
- 207R00000X
207RI0200X - Licence states on file
- CA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-29
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