Kanokporn Mongkolrattanothai
MD | Pediatrics | Female
Kanokporn Mongkolrattanothai, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kanokporn Mongkolrattanothai is
4650 W Sunset Blvd, Mailstop # 51, Los Angeles, California - 90027-6062. She can be contacted on phone at
323-361-8736 and fax number 323-361-1183.
Kanokporn Mongkolrattanothai is a sole proprietor of her business.
NPI number (Unique professional ID) for Kanokporn Mongkolrattanothai is
1174592950 which was assigned by NPPES on 15 Mar, 2006 and it was last updated on 23 Mar, 2014.
Kanokporn Mongkolrattanothai license number is
036112843 for Pediatrics (208000000X) in Illinois.
Kanokporn Mongkolrattanothai is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kanokporn Mongkolrattanothai basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kanokporn Mongkolrattanothai |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kanokporn Mongkolrattanothai address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4650 W Sunset Blvd, Mailstop # 51
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-8736 |
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| Fax Number : | 323-361-1183 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174592950 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Mar, 2006 |
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| Last Updated On : | 23 Mar, 2014 |
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Medicare Participation:
Kanokporn Mongkolrattanothai participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9830264126 |
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| Medicare Enrollment ID : | I20140708000567 |
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| Primary Specialty : | Infectious Disease |
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| Medical School : | Other |
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| Graduation Year : | 1991 |
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| Accepts Medicare? | Yes. Kanokporn Mongkolrattanothai accepts medicare insurance. |
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Group Practice Association:
Kanokporn Mongkolrattanothai is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kanokporn Mongkolrattanothai is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Hospital Los Angeles Medical Group Inc | 0143126920 | 163 | 4650 W Sunset Blvd
Los Angeles, CA - 900276062
Ph: 3233618408 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kanokporn Mongkolrattanothai are as mentioned. Primary taxonomy code for Kanokporn Mongkolrattanothai, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 036112843 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Kanokporn Mongkolrattanothai such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 07215036 | Other | IL | BCBS |
| 036112843 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4650 W Sunset Blvd, Mailstop # 51
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-8736 |
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| Fax Number : | 323-361-1183 |
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Business Location:
Patients can refer following map for directions to
Kanokporn Mongkolrattanothai practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.