Individual
DR. CHAIYAPORN BOONCHALERMVICHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11480 BROOKSHIRE AVE, SUITE 309, DOWNEY, CA 90241-5018
(562) 869-1201
(562) 869-1281
Mailing address
18000 STUDEBAKER RD STE 800, CERRITOS, CA 90703-2671
(562) 735-3226
(562) 869-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01098101A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01098101A
IN
207RH0003X
Hematology & Oncology Physician
01098101A
IN
207RH0003X
Hematology & Oncology Physician
Primary
A112439
CA
207RX0202X
Medical Oncology Physician
01098101A
IN
282N00000X
General Acute Care Hospital
2008014384
MO
Other
Enumeration date
09/26/2008
Last updated
10/24/2025
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