Provider Demographics
NPI:1851306401
Name:ARPAWONG, KUMTORN (MD)
Entity Type:Individual
Prefix:DR
First Name:KUMTORN
Middle Name:
Last Name:ARPAWONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:831 POMELLO DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-2071
Mailing Address - Country:US
Mailing Address - Phone:909-626-9922
Mailing Address - Fax:909-399-9494
Practice Address - Street 1:1211 W 6TH ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-1103
Practice Address - Country:US
Practice Address - Phone:909-626-9922
Practice Address - Fax:909-399-9494
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA32210207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A322100Medicare ID - Type Unspecified