Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOUNLATH KENT SOUKSAVONG, PA
ActiveBOUNLATH KENT SOUKSAVONG, PA is a Medical Physician Assistant healthcare provider located in MERCED, California. NPI 1326021171 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MERCED, CA
Registration Details
- NPI Number
- 1326021171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2005 (20.695658861505 yrs)
- Last Updated
- Mar 7, 2023
- License
-
PA12844 (CA)
Practice Information
- Address
-
847 W CHILDS AVEMERCED, CA, 953416862Browse CA providers · Browse ZIP 95341
- Phone
- 2093837441
- Fax
- 2093831643
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MERCED, CA
| Name | Credential | NPI |
|---|---|---|
| UMENGSINH GAMELSINH MANGROLA | PA | 1629051537 |
| MRS. AMELIA LOPEZ | PHYSICIAN ASSISTANT | 1124153440 |
| LINDA FAY BATES | PA | 1740307172 |
| MRS. CECILIA JEANNY JANG | PA-C | 1073753000 |
| MIRIAM EMILY ARANA | PA | 1144460130 |
| MAYLA T CARLOS | P.A.-C | 1235417171 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.