Individual
DR. CHALIT VASNARUNGRUENGKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-3753
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A94475
CA
Other
Enumeration date
07/11/2007
Last updated
11/30/2021
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