Individual
DR. PATARAPHA WONGSAROJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8635 W 3RD ST STE 1195W, LOS ANGELES, CA 90048-6146
(310) 423-8663
Mailing address
829 S LE DOUX RD APT 3, LOS ANGELES, CA 90035-1852
(508) 615-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241226
MA
207RN0300X
Nephrology Physician
Primary
A119992
CA
Other
Enumeration date
07/16/2009
Last updated
07/01/2022
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