PHOUTTHASONE THIRAKUL
Physician at Regents Rd, San Diego, CA

License number
Florida 21786
Issued Date
May 13, 2015
Effective Date
May 13, 2015
Expiration Date
Jun 30, 2017
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
8138 Regents Rd, San Diego, CA 92122
9500 Gilman Dr, La Jolla, CA 92093
Phone
(323) 839-7364
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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