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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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