| Bounlath Kent Souksavong, PA | |
|
847 W Childs Ave, Merced, CA 95341-6862 | |
| (209) 383-7441 | |
| (209) 383-1643 |
| Full Name | Bounlath Kent Souksavong |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 847 W Childs Ave, Merced, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326021171 | NPI | - | NPPES |
| 1022633 | Other | CA | NCCPA CERT # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA12844 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bounlath Kent Souksavong, PA 737 W Childs Ave, Merced, CA 95340-6805 Ph: (209) 383-1848 | Bounlath Kent Souksavong, PA 847 W Childs Ave, Merced, CA 95341-6862 Ph: (209) 383-7441 |
Anne M Grover, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 220 E 13th St, Merced, CA 95340 Phone: 209-723-3704 Fax: 209-723-0272 | |
Christina Hicks, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5200 N Lake Rd, H. Rajender Reddy Health Center, Merced, CA 95343 Phone: 209-228-4581 | |
Sharon Jean Cameron, P.A. / F.N.P. Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E 13th St, Merced, CA 95340 Phone: 209-385-7111 Fax: 209-385-7066 | |
Mr. Brandon Michael Huber, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 857 W Childs Ave, Merced, CA 95341 Phone: 866-682-4842 | |
Mrs. Cecilia Jeanny Jang, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 333 Mercy Ave, Emergency Department, Merced, CA 95340 Phone: 209-564-5153 | |
Ms. Nancy Adinolfi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1190 W Olive Ave, Suite L, Merced, CA 95348 Phone: 209-722-0831 Fax: 209-722-0862 | |
Mrs. Diane Vang Renteria, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 847 W Childs Ave, Merced, CA 95341 Phone: 209-383-7441 Fax: 209-383-1643 |