| Pat Kolyouthapong, | |
|
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
| (310) 423-5000 | |
| Not Available |
| Full Name | Pat Kolyouthapong |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134830615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA66682 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pat Kolyouthapong, 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Pat Kolyouthapong, 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-5000 |
Daniel Louis Fazzino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8280 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 203-217-1746 | |
Nicolas Leachman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7531 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 323-988-1400 | |
Bernadette Beatrice Gonzalez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Gabrielle Schore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 | |
Ms. Cynthia Montero, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-5000 | |
Karen Galvez, NP Physician Assistant Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884 |