Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOONMA PHOMMALAYVANE
Active Sole ProprietorBOONMA PHOMMALAYVANE is a Durable Medical Equipment & Medical Supplies healthcare provider located in RANCHO CUCAMONGA, California. NPI 1972923332 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · RANCHO CUCAMONGA, CA
Registration Details
- NPI Number
- 1972923332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2014 (12.267095626218 yrs)
- Last Updated
- Apr 23, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
8218 9TH STRANCHO CUCAMONGA, CA, 917305031Browse CA providers · Browse ZIP 91730
- Phone
- 9097316206
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in RANCHO CUCAMONGA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM DIAZ FERMIN | — | 1750431615 |
| MRS. NANCY GAIL CAMPBELL | — | 1245411651 |
| ANDREW ADDY | — | 1164767844 |
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.