Surasak Phuphanich
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2607 Blossom Ln
Redondo Beach, CA 90278-2021
Redondo Beach, CA 90278-2021
Los Angeles County