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NPI 1003748286

NPI 1003748286 : THARASRI FOUNDATION INC : HUNTINGTON BEACH, CA

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General NPI Number Information
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    NPI Number           |    1003748286
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    Entity Type          |    Organization 
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    Legal Business Name  |    THARASRI FOUNDATION INC 
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Dates
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    Enumeration Date     |    06/01/2026
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    Last Update Date     |    06/01/2026
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Provider Practice Location Address
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    Address Line         |    8907 WARNER AVE STE 166 
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    City                 |    HUNTINGTON BEACH
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    State                |    CA
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    Zip                  |    92647-5081
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    Country              |    US
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    Telephone            |    714-805-8861
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    900 PACIFIC COAST HWY APT 105 
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    City                 |    HUNTINGTON BEACH
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    State                |    CA
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    Zip                  |    92648-4859
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    Country              |    US
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    Telephone            |    714-805-8861
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP
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    Name                 |     ERIK  TOLONEN 
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    Credential           |    
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    Telephone            |    213-510-7904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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