Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOLISITH A BOUPHAPRASEUTH
ActivePHOLISITH A BOUPHAPRASEUTH is a Health & Wellness Coach healthcare provider located in N HOLLYWOOD, California. NPI 1174322184 is currently active in the NPPES registry. Verify at CMS.
Health & Wellness Coach · N HOLLYWOOD, CA
Registration Details
- NPI Number
- 1174322184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2025 (1.4647255061107 yrs)
- Last Updated
- Mar 25, 2025
Practice Information
- Address
-
11009 BURBANK BLVD STE 121N HOLLYWOOD, CA, 916015745Browse CA providers · Browse ZIP 91601
- Phone
- 3106067281
- Primary Specialty
-
Health & Wellness Coach
171400000X
- Additional Specialty
- Health & Wellness Coach
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.