PED BUNSONGSIKUL

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Dr PED BUNSONGSIKUL is a male medical professional, specializing in Family Medicine. He graduated in 1997 from University Of Illinois At Chicago Health Science Center.

Contact

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

1255 W ARROW HWY
SAN DIMAS
CA
917732340

Tel: 9093942526

PED BUNSONGSIKUL Information

Npi 1548329204
Pac Id 9830220813
Professional Enrollment Id I20100708000842
Last Name BUNSONGSIKUL
First Name PED
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 GERIATRIC MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GERIATRIC MEDICINE
Organization Legal Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Group Practice Pac Id 6002729175
Number Of Group Practice Members 8118
Line 1 Street Address 1255 W ARROW HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAN DIMAS
State CA
Zip Code 917732340
Phone Number 9093942526
Hospital Affiliation Ccn 1 050723
Hospital Affiliation Lbn 1 KAISER FOUNDATION HOSPITAL - BALDWIN PARK
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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