Suvepa Lertwongkanakool, DPM | |
1234 Granville Avenue, #1, Los Angeles, CA 90025-1685 | |
(310) 231-4391 | |
(310) 231-4390 |
Full Name | Suvepa Lertwongkanakool |
---|---|
Gender | Female |
Speciality | Podiatrist |
Location | 1234 Granville Avenue, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871661793 | NPI | - | NPPES |
480016471 | Other | CA | RAILROAD MEDICARE |
000E37150 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E3715 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Suvepa Lertwongkanakool, DPM 1234 Granville Avenue, #1, Los Angeles, CA 90025-1685 Ph: (310) 231-4391 | Suvepa Lertwongkanakool, DPM 1234 Granville Avenue, #1, Los Angeles, CA 90025-1685 Ph: (310) 231-4391 |
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