License Directory

Surasak Phuphanich

Active

California license A36229

License

Licensed by
Medical Board of California
License number
A36229
Status
Active (Current)
First issued
November 29, 2006
Expires
April 30, 2028
License holder
Surasak Phuphanich
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

2607 Blossom Ln
Redondo Beach, CA 90278-2021
Los Angeles County