SearchCalifornia171400000X

Pholisith Bouphapraseuth

NPI 1174322184 · on the registry since 2025

Practice

Address
11009 Burbank Blvd Ste 121
N Hollywood, CA 91601
Phone
(310) 606-7281

Additional practice sites

  • 310 E Warm Springs Rd Ste A, Las Vegas, NV

Registry record

Primary taxonomy
171400000X
171400000X
Also registered as
246RP1900X
Sex
Male
Record last updated
2025-03-25

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