SONEPHET PHOMMARATH PSY.D - NPI 1063605715 - Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Sonephet Phommarath Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONEPHET PHOMMARATH PSY.D (NPI 1063605715) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1063605715

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSONEPHET PHOMMARATHCredential: PSY.D

Location Address1500 S MCDONNELL AVELos Angeles, CA 90040-5623

Mailing Address1000 S Fremont AveAlhambra, CA 91803-8800

Phone(323) 981-4318

Sole ProprietorNo

Enumeration DateAugust 24, 2007

Last NPPES UpdateJuly 20, 2011

✔ NPI 1063605715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 S MCDONNELL AVE, Los Angeles, CA 90040

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