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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SURASAK PHUPHANICH, M.D.

Active

SURASAK PHUPHANICH, M.D. is a Neurology healthcare provider located in WEST HOLLYWOOD, California. NPI 1457469074 is currently active in the NPPES registry. Verify at CMS.

Neurology · WEST HOLLYWOOD, CA

Registration Details

NPI Number
1457469074
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2006 (19.946491690604 yrs)
Last Updated
Oct 3, 2019
Licenses
53514 (GA)
53135 (AZ)
A36229 (CA)

Practice Information

Address
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA, 90048
Browse CA providers · Browse ZIP 90048
Phone
3104235000
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology
Additional Specialty
Neurology

Other Neurology Providers in WEST HOLLYWOOD, CA

Name Credential NPI
DR. CAMERON RUSSELL ADAMS M.D. 1346247392
CYRUS K MODY MD 1629022736
KAREN ALTMAN MD 1518912211
DR. JEFFREY MAN-SZE CHUNG MD 1437106366
DR. ROBERT HARRIS BALOH MD PHD 1164440699
DR. LISA M. BATEMAN MD, FRCPC 1639184161
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.