Supakanya Wongrakpanich, MD - Internal Medicine in Loma Linda, CA

Supakanya Wongrakpanich, MD is a Internal Medicine physician based in Loma Linda, California. Supakanya Wongrakpanich is licensed to practice in California (license number A153678) and her current practice location is 25455 Barton Rd Ste 204b, Loma Linda, California. She can be reached at her office (for appointments etc.) via phone at (909) 958-6600.

NPI number for Supakanya Wongrakpanich is 1568877413 and her current mailing address is File # 54701, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568877413.

Contact Information

Supakanya Wongrakpanich, MD
25455 Barton Rd Ste 204b,
Loma Linda, CA 92354-3130
(909) 958-6600
Not Available

Map and Direction




Physician's Profile

Full NameSupakanya Wongrakpanich
GenderFemale
SpecialityInternal Medicine
Location25455 Barton Rd Ste 204b, Loma Linda, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568877413
  • Provider Enumeration Date: 06/29/2014
  • Last Update Date: 03/22/2022

Medical Identifiers

Medical identifiers for Supakanya Wongrakpanich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568877413NPI-NPPES
-OtherINTERNAL MEDICINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT206363 (Pennsylvania)Secondary
207R00000XInternal Medicine A153678 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Supakanya Wongrakpanich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supakanya Wongrakpanich, MD
File # 54701,
Los Angeles, CA 90074-4701

Ph: (909) 651-4300
Supakanya Wongrakpanich, MD
25455 Barton Rd Ste 204b,
Loma Linda, CA 92354-3130

Ph: (909) 958-6600

Reviews and Comments


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