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KULLAYA GITBUMRUNGSIN
NPI 1700740909
Physician Assistant in Los Angeles, CA

Active since December 11, 2025
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(424) 454-6041 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kullaya Gitbumrungsin NPPES

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

KULLAYA GITBUMRUNGSIN (NPI 1700740909) is an individual physician assistant in Los Angeles, California and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1700740909
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKULLAYA GITBUMRUNGSIN
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address12021 Wilmington AveLos Angeles, CA 90059-3019 · (424) 454-6041
Phone(424) 454-6041
Sole ProprietorYes
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1700740909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12021 WILMINGTON AVE, Los Angeles, CA 90059
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Other Providers at the Same Location NPPES 20

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

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

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 Kullaya Gitbumrungsin's NPI number?

The NPI number for Kullaya Gitbumrungsin is 1700740909. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Kullaya Gitbumrungsin located?

Kullaya Gitbumrungsin practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (424) 454-6041.

What is Kullaya Gitbumrungsin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kullaya Gitbumrungsin was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.