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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285843979 | NPPES |
| Kansas | MEDICAID | 201073310A |
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