# JOE P CHAUVAPUN MD PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033921663
- **Authorized official:** DR. JOE POTCHANARD CHAUVAPUN M.D. (OWNER)
- **Authorized official phone:** (213) 375-5737

## Contact information

- **Practice address:** 327 E PALMDALE BLVD STE D, PALMDALE, CA 93550-7139
- **Practice address phone:** (310) 953-5502
- **Mailing address:** 327 E PALMDALE BLVD STE D, PALMDALE, CA 93550-7139
- **Mailing address phone:** (109) 535-5023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2025
- **Last updated:** 04/08/2025