License Directory

Surat Phonsombat

Active

California license A86907

License

Licensed by
Medical Board of California
License number
A86907
Status
Active (Current)
First issued
April 28, 2004
Expires
April 30, 2028
License holder
Surat Phonsombat
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Urology 3rd Floor
701 E El Camino Real
Mountain View, CA 94040
Santa Clara County