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General NPI Number Information
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NPI Number | 1952528945
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Entity Type | Individual
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Provider Name | VALAIRAT DHAMCHAREE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD MS #31
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-669-5932
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Fax | 323-668-7927
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Provider Business Mailing Address
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Address Line | 2072 WATSON ST
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City | GLENDALE
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State | CA
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Zip | 91201-1156
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Country | US
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Telephone | 818-566-8919
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | A73779
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A73779
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License Number State | CA
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