Melanie Kusonruksa
Anesthesiologist
1500 San Pablo St
Los Angeles
, California 90033-5313
Melanie Kusonruksa
Anesthesiologist
1500 San Pablo St
Los Angeles
, California 90033-5313
(323) 442-7400
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Melanie Kusonruksa
- Po Box 31309
- Los Angeles, CA
- Zip : 90031-0309
- Phone : (323) 442-7400
Second Address
- Melanie Kusonruksa
- 1500 San Pablo St
- Los Angeles, CA
- Zip : 90033-5313
- Phone : (323) 442-7400
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Is Melanie Kusonruksa a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | A139310 | CA |
National Provider Identifier
| NPI | 1003234717 |
|---|---|
| Provider Name | Melanie Kusonruksa |
| First Address | Los Angeles, CA 90031-0309 |
| Second Address | Los Angeles, CA 90033-5313 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2014 |
| Last Update Date | 25/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.