Individual
DR. KOONLAWEE NADEMANEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 CESAR E. CHAVEZ AVENUE, SUITE 2700, LOS ANGELES, CA 90033-2434
(310) 672-9999
(310) 861-0540
Mailing address
P.O. BOX 33679, LOS ANGELES, CA 90033-0679
(310) 672-9999
(310) 861-0540
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A32891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090210
—
CA
Enumeration date
08/25/2006
Last updated
06/23/2009
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