Chakavanmongkol, Thirat
Chakavanmongkol, Thirat is an individual health care provider with primary practice located at 12215 Victory Blvd , North Hollywood CA 91606-3206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Chakavanmongkol, Thirat can be contacted via phone (818) 299-5500.Contact Information
Primary practice address
12215 Victory Blvd
North Hollywood CA 91606-3206
Phone: (818) 299-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95020085 | California |
Profile Details
| NPI number | 1265188221 |
|---|---|
| LBN Legal business name | Chakavanmongkol, Thirat |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2022 |
| Last updated | Feb 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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