Boonsong Anan, M.D., Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A316890 Issued in CA

Legal business name

BOONSONG ANAN, M.D., INC

Practice address

5365 Walnut Ave
Suite P
Chino, CA 91710-2622

Phone

(909) 627-8521

Fax

(909) 563-8202

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Boonsong Anan, M.D.

Title

Medical Doctor

Phone

(909) 627-8522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boonsong Anan, M.D.,INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1164634655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE",
            "address_2": "SUITE P",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-627-8521",
            "fax_number": "909-563-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE",
            "address_2": "SUITE P",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-627-8521",
            "fax_number": "909-563-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONSONG ANAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "ANAN",
        "authorized_official_first_name": "BOONSONG",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "909-627-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A316890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A316890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boonsong Anan, M.D.,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brent Bonoan
• Desiree Renee Bonomo, PAC
• Harry Joseph Bowser Jr., PHARMD
• Amalia Boyd
• Cornelia Brandon
• Janna Kay Brennan-Lynch, RN
• Brian J. Loveless, DO, Inc

• Urology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.