Provider Demographics
NPI:1962792812
Name:TUYAPALA, SONTIRATTA (RN, MSN, CNS)
Entity type:Individual
Prefix:MR
First Name:SONTIRATTA
Middle Name:
Last Name:TUYAPALA
Suffix:
Gender:M
Credentials:RN, MSN, CNS
Other - Prefix:
Other - First Name:TINO
Other - Middle Name:
Other - Last Name:TUYAPALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:118 SARGENT ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-3147
Mailing Address - Country:US
Mailing Address - Phone:415-596-3854
Mailing Address - Fax:
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:415-596-3854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA699283163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical