Individual
PISIT PITUKCHEEWANONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-4606
(323) 664-0337
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-4606
(323) 664-0337
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
A64844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A648440
—
CA
Enumeration date
09/26/2006
Last updated
07/08/2007
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