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Montri D Wongworawat, MD
Orthopedic Hand Surgery Physician in Loma Linda, California
NPI 1235175035

Montri D Wongworawat is a Orthopedic Hand Surgery Physician based in Los Angeles, CA and is specialized in Hand Surgery. Montri D Wongworawat practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Montri D Wongworawat is 1235175035 and holds a License No. A62977 (California).

The current practice location address for Montri D Wongworawat is 11370 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-2802. You can also correspond with Montri D Wongworawat through the mailing address at FILE NUMBER 54701, LOS ANGELES, CA - 90074-0001 (mailing address contact number: 909-558-3111).

Location: 11370 Anderson St, Loma Linda, CA, 90074-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235175035
Provider Name
Montri D Wongworawat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11370 Anderson St, Loma Linda, CA, 90074-0001
Phone Number
909-558-2802
Fax Number
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A629770 05 CA
institution
Provider Business Practice Location Address Details
Address
11370 Anderson St
City
Loma Linda
State
California
Zip
92354-3450
Phone Number
909-558-2802
Fax Number
person
Provider Business Mailing Address Details
Address
11370 Anderson St
City
Loma Linda
State
California
Zip
92354-3450
Phone Number
909-558-2802
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
A62977 (California)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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