MEDICARE: NARIN THANAPUTKAIPORN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093456741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARIN THANAPUTKAIPORN

Provider Business Mailing Address
First Line	:	305/110 PICHAI RD.
Second Line	:
City	:	DUSIT
State	:	BANGKOK
Zip	:	10300
Country	:	TH
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N STATE ST # AT
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-1001
Country	:	US
Telephone Number	:	323-226-2622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	05/26/2026

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Directions to “ NARIN THANAPUTKAIPORN ” Practice Location

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