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Dr. Prasert Basil Vassantachart, MD
General Practice Physician in Alhambra, California
NPI 1295720050

Prasert Basil Vassantachart is a General Practice Physician based in Alhambra, CA. Prasert Basil Vassantachart practices in Alhambra, CA and has the professional credentials of MD. The NPI Number for Prasert Basil Vassantachart is 1295720050 and holds a License No. G44008 (California).

The current practice location address for Prasert Basil Vassantachart is 841 W Valley Blvd, Alhambra, CA and can be reached out via phone at 626-282-3113 and via fax at 626-289-9179.

Location: 841 W Valley Blvd, Alhambra, CA, 91803-3251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295720050
Provider Name
Prasert Basil Vassantachart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
841 W Valley Blvd, Alhambra, CA, 91803-3251
Phone Number
626-282-3113
Fax Number
626-289-9179
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G440080 05 CA
institution
Provider Business Practice Location Address Details
Address
841 W Valley Blvd
City
Alhambra
State
California
Zip
91803-3251
Phone Number
626-282-3113
Fax Number
626-289-9179
person
Provider Business Mailing Address Details
Address
841 W Valley Blvd
City
Alhambra
State
California
Zip
91803-3251
Phone Number
626-282-3113
Fax Number
626-289-9179
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G44008 (California)
Definition
Definition to come...
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