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

Pholisith A Bouphapraseuth

Individual provider Phlebotomy Technician · NPI 1174322184

Pholisith A Bouphapraseuth is a Phlebotomy Technician in N Hollywood, California. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

11009 Burbank Blvd Ste 121
N Hollywood, CA 91601-5745
Phone: (310) 606-7281
Show map & directions

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

Additional practice locations (1)

  • 310 E Warm Springs Rd Ste A, Las Vegas, NV 89119-4246 — (702) 790-9288

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Phlebotomy Technician Taxonomy 246RP1900X

Record details

NPI number1174322184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address11009 Burbank Blvd Ste 121, N Hollywood, CA 91601-5745