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

Pat Kolyouthapong

Individual provider Physician Assistant · NPI 1134830615

Pat Kolyouthapong is a Physician Assistant in West Hollywood, California. Qualified in 2025, 1 year ago. Practices with Cedars-Sinai Medical Center, a 795-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66682 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1134830615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cedars-Sinai Medical Center — 795 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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