Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chaivat Phuvadakorn, MD

Individual provider Internal Medicine Physician · NPI 1164793816

Chaivat Phuvadakorn, MD is an Internal Medicine Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

351 E Temple St Mail Code Laacc Home Based Primary Care A127A
Los Angeles, CA 90012-3328
Phone: (213) 253-5018
Fax: (213) 253-5018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 122504 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A122504 (CA)

Record details

NPI number1164793816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 25, 2012
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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