NITHIWAT VATANAVICHARN

WEST HOLLYWOOD, CA
NPI1215149232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  A98377)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- NITHIWAT VATANAVICHARN M.D.
8700 BEVERLY BLVD SUITE 1150W
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-9941
Mailing Address
-- NITHIWAT VATANAVICHARN M.D.
320 ARNAZ DR APT#112
LOS ANGELES, CA 90048-3877
Phone number:
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