Individual provider · Type 1 NPI

Patana Pongvarin

Addiction (Substance Use Disorder) Registered Nurse · Costa Mesa, CA

NPI number 1649762188 Active

Practice location

275 Victoria St Ste 1H
Costa Mesa, CA 92627-1906

Call (949) 629-2862 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XVN227571 (CA)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1649762188

Patana Pongvarin's National Provider Identifier is 1649762188, issued on May 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Costa Mesa, CA. The record was last updated on May 31, 2018.