IndividualActive
Bounmany Keojampa, M.D.
NPI 1972778843 · Facial Plastic Surgery Physician · Marina Del Rey, CA
Provider details
- NPI number
- 1972778843
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 242360 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4640 Admiralty Way
Suite 718
Marina Del Rey, CA 90292-6621
Phone: (310) 823-4444
Fax: (888) 857-4458
Approximate (ZIP-level) locationGet directions
Mailing address
4640 Admiralty Way
Marina Del Rey, CA 90292-6621
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2015-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.