Individual provider · Type 1 NPI

Prach Uthayo, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1306756127 Active

Practice location

2070 Century Park E
Los Angeles, CA 90067-1907

Call (424) 522-7100 Map

Mailing address

840 Larrabee St Apt UNIT2208
Los Angeles, CA 90069-4540

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306756127

Prach Uthayo, MD's National Provider Identifier is 1306756127, issued on Sep 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2026.