SOMBATH SENETHONG, M.D.
Managed Care Organizations at Euclid Ave, San Diego, CA

License number
California 208D00000X
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. SOMBATH SENETHONG M.D.
Title: DIRECTOR
Phone: (619) 262-8626
Address
Address
1748 Euclid Ave, San Diego, CA 92105
National Provider ID: 1972794089
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOMBATH SENETHONG, M.D., INC

1748 N Euclid Ave, San Diego, CA 92105

Status:
Inactive
Industry:
Pediatrician, Family Doctor
Registration:
Jul 16, 1982
State ID:
C1117649
Business type:
Articles of Incorporation
President:
Sombath Senethong President, inactive

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