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LISA VITTAYARUKSKUL

Family Medicine Physician

NPI: 1851031363IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

A200975(CA)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2022

Contact & Hours

Via practice · 2 locations total

Address
8767 WILSHIRE BLVD FL 2
BEVERLY HILLS, CA 90211

Quick Facts

NPI
1851031363
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
4

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