| Vibul Tangpraphaphorn M.d., Inc | |
|
109 Adkisson Way Taft CA 93268-3600 | |
| (661) 765-4124 | |
| (661) 765-6498 |
| Full Name | Vibul Tangpraphaphorn M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Adkisson Way, Taft, California |
| Authorized Official Name and Position | Vibul Tangpraphaphorn (PHYSICIAN) |
| Authorized Official Contact | 6617654124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibul Tangpraphaphorn M.d., Inc 109 Adkisson Way Taft CA 93268-3600 Ph: (661) 765-4124 | Vibul Tangpraphaphorn M.d., Inc 109 Adkisson Way Taft CA 93268-3600 Ph: (661) 765-4124 |
| NPI Number | 1982698007 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5193988103 |
|---|---|
| Medicare Enrollment ID | O20120531000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982698007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A33497 (California) | Primary |
| Provider Name | Vibul Tangpraphaphorn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255514253 PECOS PAC ID: 6901069921 Enrollment ID: I20120531000160 |
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