Voottisin Michael Pisarnwongs, PA-C Valid NPI

Individual provider · Physician Assistant · Pasadena, CA

NPI

1124739354

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA62297 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2022-12-08

Last updated

2023-06-29