Thirat Chakavanmongkol
NPI #1265188221 in North Hollywood, California
Provider Information
- NPI Number
- 1265188221
- Entity Type
- Individual
- Name
- Thirat Chakavanmongkol
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 28, 2022
- Last Updated
- Feb 28, 2022
Practice Location
- Address
- 12215 VICTORY BLVD
- City
- North Hollywood
- State
- California
- ZIP Code
- 91606-3206
- Phone
- (818) 299-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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