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Organization

THASANA NIVATPUMIN, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THASANA NIVATPUMIN M.D. (PRESIDENT)
(310) 271-7012
Entity
Organization

Contact information

Practice address
9301 WILSHIRE BLVD, SUITE 602, BEVERLY HILLS, CA 90210-6161
(310) 271-7012
(310) 271-7842
Mailing address
PO BOX 17298, BEVERLY HILLS, CA 90209-3298
(310) 271-7012
(310) 271-7842

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A37300
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A373000
CA
Enumeration date
10/20/2009
Last updated
10/27/2009
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