Individual ProviderNatnicha NoppornmongkulStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1303 E. Herndon Ave, Saint Agnes Medical Center, Suite 105, Fresno, CA 93720(559) 450-4637PECOS EnrollmentBased on the most recent information from CMS, provider Natnicha Noppornmongkul does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1558110833Provider TypeIndividualFull NameNoppornmongkul, NatnichaTitleMs.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/17/2024Last Updated8/9/2024Contact InformationPractice LocationPractice Address1303 E. Herndon Ave, Saint Agnes Medical Center, Suite 105, Fresno, CA 93720Phone(559) 450-4637FaxUnlisted FaxMailing LocationMailing Address1303 E. Herndon Ave, Saint Agnes Medical Center, Suite 105, Fresno, CA 93720Phone(559) 450-4637FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer