Chaivat Phuvadakorn
ActiveCalifornia license A122504
License
- Licensed by
- Medical Board of California
- License number
- A122504
- Status
- Active (Current)
- First issued
- August 11, 2012
- Expires
- February 29, 2028
- License holder
- Chaivat Phuvadakorn
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
VHA Los Angeles Amb Care Ctr
Home Based Primary Care Rm A127A
Los Angeles, CA 90012
Home Based Primary Care Rm A127A
Los Angeles, CA 90012
Los Angeles County