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Organization

K.KUNNAWUTHIDEE M.D. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KAMOLTIPYA CATHLEEN KUNNAWUTHIDEE M.D. (PRESIDENT)
(323) 928-2799
Entity
Organization

Contact information

Practice address
1300 N VERMONT AVE, 702, LOS ANGELES, CA 90027-6005
(323) 928-2799
(323) 928-2799
Mailing address
1300 N VERMONT AVE, 702, LOS ANGELES, CA 90027-6005
(323) 928-2799
(323) 928-2790

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
00A355570
CA

Other

Enumeration date
09/16/2014
Last updated
06/17/2015
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