License Directory

Chaiyaporn Charles Vatanatham

Active

California license A207112

License

Licensed by
Medical Board of California
License number
A207112
Status
Active (Current)
First issued
January 30, 2026
Expires
March 31, 2028
License holder
Chaiyaporn Charles Vatanatham
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

10833 Le Conte Ave
Chs 90-054
Los Angeles, CA 90095
Los Angeles County