Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAIVAT PHUVADAKORN, M.D.
Active Sole ProprietorCHAIVAT PHUVADAKORN, M.D. is a Gastroenterology healthcare provider located in LOS ANGELES, California. NPI 1164793816 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · LOS ANGELES, CA
Registration Details
- NPI Number
- 1164793816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2012 (14.567161038986 yrs)
- Last Updated
- May 8, 2024
- Licenses
-
A122504 (CA)122504 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
351 E TEMPLE STMAIL CODE LAACC HOME BASED PRIMARY CARE A127ALOS ANGELES, CA, 900123328Browse CA providers · Browse ZIP 90012
- Phone
- 2132535018
- Fax
- 2132535018
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DONG HYUN LEE | M.D. | 1134109200 |
| DR. JO ANN PULLEN | MD | 1225005663 |
| CAROL J THRUN | MD | 1891764536 |
| ZALDY S TAN | M.D. | 1174585376 |
| MARY ILENE LEVIN | M.D. | 1740233709 |
| MICHELLE ESLAMI | MD | 1689627143 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.