Dr. Somsupha Kanjanauthai, MD
Dr. Somsupha Kanjanauthai, MD is an Interventional Cardiology in Los Angeles, California. Qualified in 2002, 24 years ago. Practices with Pacifica Foundation LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Wisconsin.
- Years since qualifying
- 24
- Licensed in
- CA, WI
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1300 N Vermont AveLos Angeles, CA 90027-6098
Phone: (323) 913-4200
Fax: (510) 281-0766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3731 Wilshire Blvd, Los Angeles, CA 90010-2830 — (323) 913-4200
Specialties & licences
| Interventional Cardiology Physician (primary) | Taxonomy 207RI0011X · Licence A103083 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence A103083 (CA) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence A103083 (CA) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 22647 (WI) |
Record details
| NPI number | 1285843979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 25, 2023 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL CARDIOLOGY |
|---|---|
| Also practises | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Pacifica Foundation Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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