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Chaivat Phuvadakorn

Internist Geriatric Medicine

16111 Plummer St Bldg 200, Mail Code Oopr
North Hills , California 91343-2036

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Chaivat Phuvadakorn

Internist Geriatric Medicine

16111 Plummer St Bldg 200, Mail Code Oopr
North Hills , California 91343-2036

(818) 895-9452

Write a Review Save Call

Chaivat Phuvadakorn

Internist Geriatric Medicine

16111 Plummer St Bldg 200, Mail Code Oopr
North Hills , California 91343-2036

(818) 895-9452 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Geriatric Medicine

Languages spoken

  • English

Location

16111 Plummer St Bldg 200, Mail Code Oopr North Hills , California 91343-2036

First Address

  • Chaivat Phuvadakorn
  • 16111 Plummer St Bldg 200, Mail Code Oopr
  • North Hills, CA
  • Zip : 91343-2036
  • Fax : (818) 895-9452
  • Phone : (818) 891-7711

Second Address

  • Chaivat Phuvadakorn
  • 16111 Plummer St Bldg 200, Mail Code Oopr
  • North Hills, CA
  • Zip : 91343-2036
  • Fax : (818) 895-9452
  • Phone : (818) 891-7711

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FAQs


Where did Chaivat Phuvadakorn attend graduate school?

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Where did Chaivat Phuvadakorn do his residency?

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Where did Chaivat Phuvadakorn do his fellowship?

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Is Chaivat Phuvadakorn board certified?

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What type of doctor is Chaivat Phuvadakorn

Geriatric Medicine

In what state does Chaivat Phuvadakorn practice in?

California

Where is Chaivat Phuvadakorn ’s practice located?

16111 Plummer St Bldg 200, Mail Code Oopr , North Hills, California, 91343-2036

What is Chaivat Phuvadakorn ’s gender?

Male

Is Chaivat Phuvadakorn a sole practitioner?

No

Is Chaivat Phuvadakorn accepting new patients?

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What languages does Chaivat Phuvadakorn speak?

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Does Chaivat Phuvadakorn accept insurance?

Yes, Chaivat Phuvadakorn accepts insurance

Does Chaivat Phuvadakorn offers telemedicine?

Chaivat Phuvadakorn has not indicated if he offers telemedicine

What is Chaivat Phuvadakorn ’s professional license number?

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What is Chaivat Phuvadakorn ’s NPI number?

1164793816

Does Chaivat Phuvadakorn have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist A122504 CA
N 111NI0900X Internist A122504 CA
Y 207RG0300X Geriatric Medicine 122504 CA

National Provider Identifier

NPI 1164793816
Provider Name Chaivat Phuvadakorn
First Address North Hills, CA 91343-2036
Second Address North Hills, CA 91343-2036
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 25/01/2012
Last Update Date 01/02/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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