MEDICARE: MR. PHOLPHAT INPIROM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471C3402X	Radiography Radiologic Technologist	504629	CA

General Provider Information

NPI Number	:	1568701209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PHOLPHAT INPIROM

Provider Business Mailing Address
First Line	:	3549 CASTLE GLEN DR UNIT 128
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3549 CASTLE GLEN DR UNIT 128
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2432
Country	:	US
Telephone Number	:	619-955-2360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

Similar Medicare Providers

1992426597 — FAITH MATHER RD, CNSC
Practice Location Address:

4884 VALDINA WAY
SAN DIEGO, CA
92124-2432

Practice Phone: 608-436-1477
Practice Fax:

1588044788 — OUR HEALING HEART HOMECARE, LLC
Practice Location Address:

5003 COUNTY ROAD 110 , UNIT C
SAN DIEGO, TX
78384-2432

Practice Phone: 361-209-5035
Practice Fax: 361-209-5027

1427854900 — SD MEDICAL SOLUTIONS LLC
Practice Location Address:

1420 KETTNER BLVD STE 200
SAN DIEGO, CA
92101-2432

Practice Phone: 858-222-3556
Practice Fax:

1376542589 — MRS. NONA DARLENE ADDISON MENN N.P.
Practice Location Address:

301 S SAN PATRICIO ST , SUITE # C
SINTON, TX
78387-2432

Practice Phone: 361-438-6502
Practice Fax: 361-368-2574

1033101787 — DR. FRANCISCO JAVIER JAVIER JIMENEZ RAMIREZ PHARM.D., BCPS, CDE
Practice Location Address:

CALLE SAN JOSE # 3
LARES, PR
00669-2432

Practice Phone: 787-897-1500
Practice Fax: 787-897-2655

1699763326 — FARMACIA SAN JOSE LLC
Practice Location Address:

3 CALLE SAN JOSE
LARES, PR
00669-2432

Practice Phone: 787-897-1500
Practice Fax: 787-897-2655

Directions to “ MR. PHOLPHAT INPIROM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.