CHAIYAPORN CHARLES VATANATHAM

LOS ANGELES, CA
NPI1407552060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-02-06
Last Update Date2023-03-23
Business Address
CHAIYAPORN CHARLES VATANATHAM
757 WESTWOOD PLAZA, INTERNAL MEDICINE
LOS ANGELES, CA 90095-7419
Phone number: 310-825-7375
Mailing Address
CHAIYAPORN CHARLES VATANATHAM
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373
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