Kanjanauthai, Somsupha
Kanjanauthai, Somsupha is an individual health care provider with primary practice located at 1300 N Vermont Ave , Los Angeles CA 90027-6098. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Kanjanauthai, Somsupha can be contacted via phone (323) 913-4200.Contact Information
Primary practice address
1300 N Vermont Ave
Los Angeles CA 90027-6098
Phone: (323) 913-4200
Fax: (510) 281-0766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A103083 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A103083 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A103083 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22647 | Wisconsin |
Profile Details
| NPI number | 1285843979 |
|---|---|
| LBN Legal business name | Kanjanauthai, Somsupha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285843979 | NPPES |
| Kansas | MEDICAID | 201073310A |
Popular Providers
-
Burstein, Steven
1245 Wilshire Blvd Ste 580 , Los Angeles CA 90017-5854 -
Dzebolo, Nicholas N
2105 Beverly Blvd Ste 111 , Los Angeles CA 90057-2252 -
Aksoy, Olcay
100 Ucla Medical Plz Ste 630 , Los Angeles CA 90024-6997 -
Matthews, Ray Vern
1520 San Pablo St Suite 1000, Los Angeles CA 90033-5310 -
Soleimani, Tourage
2080 Century Park E Suite 1405, Los Angeles CA 90067 -
Economides, Christina Holly
1245 Wilshire Blvd Ste 580 , Los Angeles CA 90017-5854 -
Yashar, Payam Robert
8635 W 3Rd St Suite 1050W, Los Angeles CA 90048-6101 -
Doerner, Thomas C.
1701 E Cesar E Chavez Ave Ste 403 , Los Angeles CA 90033-2425