Organization
PATARAPHA WONGSAROJ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATARAPHA WONGSAROJ MD (OWNER)
(818) 653-4889
Entity
Organization
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(818) 653-4889
Mailing address
305 ARNAZ DR APT 104, LOS ANGELES, CA 90048-3823
(818) 653-4889
(818) 862-9587
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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