Pongmakthikraksorivo P. Sisowath
Physician Assistant · Santa Fe Springs, CA
UnclaimedNPI 1962218560
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2024-12-09
- Practice location
- Santa Fe Springs, CA
- Last NPPES update
- 2024-12-09
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.