Individual provider · Type 1 NPI

Sittiporn Boontung, MD

Specialist · Torrance, CA

NPI number 1780765305 Active

Practice location

23000 Crenshaw Blvd, Suite 200
Torrance, CA 90505-3052

Fax (310) 530-0709

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA25148 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780765305

Sittiporn Boontung, MD's National Provider Identifier is 1780765305, issued on Oct 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Torrance, CA. The record was last updated on Jul 8, 2007.