1. Home
  2. Directory
  3. California
  4. West Hollywood
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CHANIDAPA KLINHOM MD
NPI 1104575885
Student in an Organized Health Care Education/Training Program in West Hollywood, CA

Active since March 21, 2022PECOS Enrolled
8700 BEVERLY BLVD RM 6729, WEST HOLLYWOOD, CA 90048(310) 423-1838 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Chanidapa Klinhom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANIDAPA KLINHOM MD (NPI 1104575885) is an individual student in an organized health care education/training program in West Hollywood, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104575885
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHANIDAPA KLINHOMCredential: MD
Location Address8700 BEVERLY BLVD RM 6729West Hollywood, CA 90048-1804
Mailing Address8700 Beverly Blvd Rm 6729West Hollywood, CA 90048-1804
Phone(310) 423-1838
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateJune 28, 2025
NPPES CertifiedJune 28, 2025
✔ NPI 1104575885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8700 BEVERLY BLVD RM 6729, West Hollywood, CA 90048
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chanidapa Klinhom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE ACHAMALLAH M.D.
Internal Medicine (Critical Care Medicine)
8700 BEVERLY BLVD RM 6729
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-1838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanidapa Klinhom's NPI number?

The NPI number for Chanidapa Klinhom is 1104575885. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Chanidapa Klinhom located?

Chanidapa Klinhom practices at 8700 Beverly Blvd Rm 6729, West Hollywood, CA 90048. The listed phone number is (310) 423-1838.

What is Chanidapa Klinhom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chanidapa Klinhom enrolled in Medicare?

Yes. Chanidapa Klinhom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chanidapa Klinhom was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.