Individual provider · Type 1 NPI

Melissa Erin Phuphanich, MD, MS

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

NPI number 1497252837 Active

Practice location

11301 Wilshire Blvd # 117
Los Angeles, CA 90073

Call (310) 478-3711 Map

Other practice locations

  • 1000 W Carson St, Torrance, CA 90502-2004 · (310) 222-2700
  • 1000 W Carson St, Torrance, CA 90502-2004 · (310) 222-2700

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 1497252837

Melissa Erin Phuphanich, MD, MS's National Provider Identifier is 1497252837, issued on Apr 11, 2018. 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 Jun 29, 2019.