Individual
CHADCHADIN NONGHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
792212
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000820
CA
Other
Enumeration date
08/01/2017
Last updated
07/16/2022
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