Healthcare Provider Details
I. General information
NPI: 1669715256
Provider Name (Legal Business Name): ORAGUN KARLA ROJANAPAIRAT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/01/2013
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8700 BEVERLY BLVD RM 6735
WEST HOLLYWOOD CA
90048-1804
US
IV. Provider business mailing address
PO BOX 512717
LOS ANGELES CA
90051-0717
US
V. Phone/Fax
- Phone: 310-423-1838
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | A135607 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | A135607 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: