Pukan Phaoudom

  • NPI 1790844512
According to our database, the NPI number for Pukan Phaoudom is 1790844512 and activated since 17 years ago. Pukan Phaoudom is an individual provider who specializes in Clinical, and the primary practice location is 4441 E Kings Canyon Rd, Fresno, CA 93702. You can also contact Pukan Phaoudom via telephone number is (559) 600-4693. Provider NPI information was last updated on 05/28/2019.

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Overview of Pukan Phaoudom

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/07/2006
  • Last updated: 05/28/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LCSW25857
  • License State: CA

Provider Mailing Address

  • Address: 4441 E Kings Canyon Rd
    Fresno, CA 93702
  • Phone: 559-600-4693
  • Fax:

Provider Practice Location

  • Address: 4441 E Kings Canyon Rd
    Fresno, CA 93702
  • Phone: 559-600-4693
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LCSW25857
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Pukan Phaoudom?
  • A: The npi number for Pukan Phaoudom is 1790844512.
  • Q: What are Pukan Phaoudom's specialties?
  • A: Pukan Phaoudom's specialties are Clinical and different specialities.
  • Q: What is the medical license for Pukan Phaoudom?
  • A: The medical license number for Pukan Phaoudom is LCSW25857 and issued in CA in USA.
  • Q: Where is Pukan Phaoudom practice location?
  • A: Pukan Phaoudom is practicing at 4441 E Kings Canyon Rd, Fresno, CA 93702.
  • Q: How to contact Pukan Phaoudom?
  • A: You can contact Pukan Phaoudom via 559-600-4693.