| Doctor Name: | DR. PRASERT BASIL VASSANTACHART |
| NPI Number: | 1295720050 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G44008 |
| Business Practice Address: | 841 W Valley Blvd Suite 104 Alhambra, CA - 918033251 |
| Business Phone Number: | 6262823113 |
| Business Fax Number: | 6262899179 |
| Mailing Address: | 841 W Valley Blvd, Suite 104 ALHAMBRA |
| State: | CA |
| Postal Code: | 918033251 |
| Phone Number: | 6262823113 |
| Fax Number: | 6262899179 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 05/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G44008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |