Lukchai Bhavabhutanon, D.O.
Internal Medicine in Monterey Park, CA. Individual provider (NPI-1).
NPI number1922032952
StatusActive
Last updated in NPPESOct 13, 2015
Details
- NPI
- 1922032952
- Entity type
- Individual (NPI-1)
- Name
- Lukchai Bhavabhutanon
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Oct 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20a7134 | CA | Yes |
Practice location
880 S Atlantic BlvdSuite 307
Monterey Park, CA 91754-4700
Phone 626-300-8424
Mailing address
880 S Atlantic BlvdSuite 307
Monterey Park, CA 91754-4700
Phone 626-300-8424
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