Nattapaun N Thepyasuwan Do Inc | |
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
(310) 786-7204 | |
(888) 873-9665 |
Full Name | Nattapaun N Thepyasuwan Do Inc |
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Speciality | Internal Medicine |
Location | 8700 Beverly Blvd, West Hollywood, California |
Authorized Official Name and Position | Nattapaun N Thepyasuwan (PRESIDENT/OWNER) |
Authorized Official Contact | 3107867204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nattapaun N Thepyasuwan Do Inc Po Box 1218 Beverly Hills CA 90213-1218 Ph: (310) 786-7204 | Nattapaun N Thepyasuwan Do Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (310) 786-7204 |
NPI Number | 1366889743 |
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Provider Enumeration Date | 05/26/2013 |
Last Update Date | 05/26/2013 |
Medicare PECOS PAC ID | 3577703826 |
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Medicare Enrollment ID | O20130709000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366889743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nattapaun N Thepyasuwan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396050746 PECOS PAC ID: 0345499612 Enrollment ID: I20121001000402 |
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