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Search › California › 207RG0300X

Chaivat Phuvadakorn, M.D

NPI 1164793816 · on the registry since 2012 · sole proprietor

Practice

Address
351 E Temple St
Mail Code Laacc Home Based Primary Care A127a
Los Angeles, CA 90012
Phone
(213) 253-5018
Fax
(213) 253-5018
Organisation at this address
Va Hospital
La Veterans Affairs
West Los Angeles Vamc
West Los Angeles Vamc
West Los Angeles Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
111

Registry record

Primary taxonomy
207RG0300X
207RG0300X
Also registered as
207R00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California