Surasak Phuphanich is a West Hollywood, California based neurologist who is specialized in Neurology. Active license number of Surasak Phuphanich is A36229 for Neurology in California. His current practice location is 8700 Beverly Blvd, West Hollywood. Patients can reach him at 310-423-5000. Surasak Phuphanich is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1457469074.
Surasak Phuphanich 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.
Complete Profile:
Surasak Phuphanich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Surasak Phuphanich |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | M.D. |
| Practice Address: | 8700 Beverly Blvd, West Hollywood,
California, 90048 |
| Phone: | 310-423-5000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1457469074 |
| NPI Enumeration Date: | 25 Aug, 2006 |
| NPI Last Update On: | 03 Oct, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Surasak Phuphanich are as mentioned below.
| License Number | Specialization | State | Status | |
| A36229 | Neurology | California | Primary | |
| 53514 | Internal Medicine | Georgia | Secondary | |
| 53135 | Neurology | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Surasak Phuphanich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 266604 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Surasak Phuphanich
Po Box 512717,
Los Angeles, California |
| Zip: | 90051-0717 |
Patients can reach Surasak Phuphanich at
8700 Beverly Blvd, West Hollywood, California or can
call to book an appointment on 310-423-5000.
Comments/ Reviews:
Read all the reviews posted for Surasak Phuphanich below. You may also share your own experience with Surasak Phuphanich. Your feedback can help others make better decisions.
**
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.