Search › California › 367500000X
Bert Mekpongsatorn
NPI 1356633374 · on the registry since 2011 · sole proprietor
Practice
- Address
- 13012 Valleyheart Dr
1
Studio City, CA 91604 - Phone
- (818) 674-0732
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-28
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