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:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.