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Surasak Phuphanich, MD
Neurology Physician in West Hollywood, California
NPI 1457469074

Surasak Phuphanich is a Neurology Physician based in Los Angeles, CA and is specialized in Neurology. Surasak Phuphanich practices in West Hollywood, CA and has the professional credentials of MD. The NPI Number for Surasak Phuphanich is 1457469074 and holds a License No. 53514 (California).

The current practice location address for Surasak Phuphanich is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 310-423-5000.

Location: 8700 Beverly Blvd, West Hollywood, CA, 90051-0717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457469074
Provider Name
Surasak Phuphanich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8700 Beverly Blvd, West Hollywood, CA, 90051-0717
Phone Number
310-423-5000
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
266604 05 AZ
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048
Phone Number
310-423-5000
Fax Number
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048
Phone Number
310-423-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
53135 (Arizona)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
53514 (Georgia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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