Individual provider · Type 1 NPI

Pat Kolyouthapong

Physician Assistant · West Hollywood, CA

NPI number 1134830615 Active

Practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Call (310) 423-5000 Map

Mailing address

4140 W 190th St
Torrance, CA 90504-5513

Other practice locations

  • 1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803-8800 · (949) 374-8151

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XPA66682 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134830615

Pat Kolyouthapong's National Provider Identifier is 1134830615, issued on Dec 6, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Hollywood, CA. The record was last updated on Aug 8, 2025.