Individual
BHISIT CHANGCHAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
38478
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384783
—
SC
01
—
SC8480F694
MEDICARE
SC
Enumeration date
06/19/2012
Last updated
01/15/2026
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