Individual
AMORNCHIT SRIKUREJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2021 SANTA MONICA BLVD, SUITE 540E, SANTA MONICA, CA 90404-2208
(310) 828-9501
Mailing address
2021 SANTA MONICA BLVD, SUITE 540E, SANTA MONICA, CA 90404-2208
(310) 828-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A705890
—
CA
Enumeration date
06/29/2006
Last updated
07/08/2007
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