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Praseuth Souvannavong
Durable Medical Equipment & Medical Supplies in Santa Ana, California
NPI 1982928412

Praseuth Souvannavong is a Durable Medical Equipment & Medical Supplies based in Santa Ana, CA. Praseuth Souvannavong practices in Santa Ana, CA. The NPI Number for Praseuth Souvannavong is 1982928412 and holds a License No. (California).

The current practice location address for Praseuth Souvannavong is 2740 S Bristol St, Santa Ana, CA and can be reached out via phone at 714-754-8200 and via fax at 714-754-8201.

Location: 2740 S Bristol St, Santa Ana, CA, 92704-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982928412
Provider Name
Praseuth Souvannavong
Credential
Provider Entity Type
Individual
Gender
Male
Address
2740 S Bristol St, Santa Ana, CA, 92704-6209
Phone Number
714-754-8200
Fax Number
714-754-8201
Provider Enumeration Date
03/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2740 S Bristol St
City
Santa Ana
State
California
Zip
92704-6209
Phone Number
714-754-8200
Fax Number
714-754-8201
person
Provider Business Mailing Address Details
Address
2740 S Bristol St
City
Santa Ana
State
California
Zip
92704-6209
Phone Number
714-754-8200
Fax Number
714-754-8201
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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