NPI 1003599952

Suchada Tachasooksaree, MSPASMPHPAC

Practitioner Physician Assistant Pomona, CA

Practice location

Address: 255 E Bonita Ave, Pomona, CA 91767-1923
Phone: (909) 593-7437
Mailing address: 255 E Bonita Ave Building 1, Suite 101, Pomona, CA 91767-1923

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA64201 (CA)

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Registry record

NPI: 1003599952
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2023
Record last updated: 22 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.