K.Kunnawuthidee M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

00A355570 Issued in CA

Legal business name

K.KUNNAWUTHIDEE M.D. INC.

Practice address

1300 N Vermont Ave
702
Los Angeles, CA 90027-6005

Phone

(323) 928-2799

Fax

(323) 928-2799

NPI assigned

Sep 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Kamoltipya Cathleen Kunnawuthidee, M.D.

Title

President

Phone

(323) 928-2799

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sang Hyo Park, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1386732188
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1487056982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-928-2799",
            "fax_number": "323-928-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-928-2799",
            "fax_number": "323-928-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.KUNNAWUTHIDEE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "KUNNAWUTHIDEE",
        "authorized_official_first_name": "KAMOLTIPYA",
        "authorized_official_middle_name": "CATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-928-2799",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "00A355570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K Vu Medical Professional Corporation
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• K-Town Dentist
• K. Y. Chau, D.C., a Chiropractic Corporation
• K.Ishikawa MD, a Professional Corporation
• K'S Kare Home LLC
• K&L Wellness Inc.
• Tristan Ka
• Marie Kaakijian
• Aboubacar Kaba, MD

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.