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Organization

S PATT MD INC

Active
Parent organization
S PATT MD INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
S PATT MD INC
Authorized official
MRS. SUWAPANG PATTAMMADITH MD (DERMATOLOGIST)
(310) 537-5810
Entity
Organization

Contact information

Practice address
3621 E MLK JR BL, #14, LYNWOOD, CA 90262
(310) 537-5810
(310) 537-5876
Mailing address
3621 E MLK JR BL, #14, LYNWOOD, CA 90262
(310) 537-5810
(310) 537-5876

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A32823
CA
207ND0900X
Dermatopathology Physician
CA
207NS0135X
Procedural Dermatology Physician
CA

Other

Enumeration date
01/03/2008
Last updated
03/13/2008
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