Cortes Jongjaroenlarp
Military Health Care Provider in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1053106971
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1053106971
- Entity type
- Individual (NPI-1)
- Name
- Cortes Jongjaroenlarp
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2025
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | – | – | Yes |
Practice location
H200 Mercy CircleCamp Pendleton, CA 92055
Phone 760-725-1288
Mailing address
H200 Mercy CircleCamp Pendleton, CA 92055
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