Provider Demographics
NPI:1720805062
Name:WONGSAEN, APINUN
Entity type:Individual
Prefix:MR
First Name:APINUN
Middle Name:
Last Name:WONGSAEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 ARGUELLO BLVD APT 307
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3245
Mailing Address - Country:US
Mailing Address - Phone:415-518-7515
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 122112TH
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3001
Practice Address - Country:US
Practice Address - Phone:415-518-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87530225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist