Search › California › 207R00000X
Thanavut Jiansakul, M.D
NPI 1558507665 · on the registry since 2008
Practice
- Address
- 954 N Vermont Ave
Los Angeles, CA 90029 - Phone
- (562) 867-7999
- Organisation at this address
- Mahfouz M. Michael,M.D.,Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- ME, PA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-05
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