Thawat Eosakul
Medical Specialty
Professional ID
- NPI: 1811904519
- PECOS ID: 9234254640
- Enrollment ID: I20100908000927
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1973
Hospital Service
- Hospital CCN1: 050089
- Business Name (LBN)1: Community Hospital Of San Bernardino
Medical Practices
- Organization Name: Thawat Eosakul,m.d.inc.
- Group Practice ID assigned by PECOS: 1254456668
- Number of Group Practice member: 0
Location
- Address1: 16860 Seville Ave
- Address2:
- City: Fontana
- State: California
- Zip Code: 92335
- Phone Number: (909)350-3091
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):