Individual
CHONLADA CHIVANGKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2888 LONG BEACH BLVD STE 235, LONG BEACH, CA 90806
(562) 424-4447
(562) 216-1785
Mailing address
2350 W 238TH ST, TORRANCE, CA 90501-5915
(646) 853-3747
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A138067
CA
Other
Enumeration date
06/18/2013
Last updated
09/01/2019
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