THAWAT EOSAKUL,M.D.INC.
NPI 1285955278
Clinic/Center in Fontana, CA

Active since June 14, 2010
16860 SEVILLE AVE, FONTANA, CA 92335(909) 350-3091(909) 350-1172 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thawat Eosakul,m.d.inc. NPPES

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

THAWAT EOSAKUL,M.D.INC. (NPI 1285955278) is a healthcare organization registered as a clinic/center in Fontana, California and active in the NPI registry since June 2010. The organization lists Thawat Eosakul, President, as its authorized official.

NPPES Registry Identity

NPI1285955278
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHAWAT EOSAKUL,M.D.INC.
Location Address16860 SEVILLE AVEFontana, CA 92335-3561
Mailing Address16860 Seville AveFontana, CA 92335-3561 · (909) 350-3091 · Fax (909) 350-1172
Fax(909) 350-1172
Organization SubpartNo
Authorized OfficialThawat EosakulPresident · (909) 350-3091
Enumeration DateJune 14, 2010
NPI 1285955278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · A32349
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

16860 SEVILLE AVE, Fontana, CA 92335

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
16860 SEVILLE AVE
FONTANA, CA 92335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285955278, enumerated as an "organization" on June 14, 2010.

The provider is located at 16860 SEVILLE AVE FONTANA, CA 92335 and the phone number is (909) 350-3091.

Clinic/Center with taxonomy code 261Q00000X.