Individual ProviderSith RiantawanPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062(323) 361-3849PECOS EnrollmentBased on the most recent information from CMS, provider Sith Riantawan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1871056291Provider TypeIndividualFull NameRiantawan, SithCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/11/2019Last Updated5/29/2023Contact InformationPractice LocationPractice Address4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062Phone(323) 361-3849FaxUnlisted FaxMailing LocationMailing Address4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062Phone(323) 361-3849FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA176668CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer