Ajjana Techagumpuch
Surgery in San Francisco, CA. Individual provider (NPI-1).
NPI number1902578024
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1902578024
- Entity type
- Individual (NPI-1)
- Name
- Ajjana Techagumpuch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | SPI684 | CA | Yes |
Practice location
400 Parnassus Ave # 6sSan Francisco, CA 94143-2202
Phone 415-353-2165 · Fax 415-353-2505
Mailing address
400 Parnassus Ave # 6sSan Francisco, CA 94143-2202
Phone 415-353-2165 · Fax 415-353-2505
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