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NPI Code Detail

MEDICARE: ALAN KWASMAN M.D.

MEDICARE:   ALAN  KWASMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA39355CA

General Provider Information

NPI Number : 1558383091
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN KWASMAN M.D.
Provider Business Mailing Address
First Line : 6950 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3831
Country : US
Telephone Number : 951-686-8223
Fax Number :
Provider Business Practice Location Address
First Line : 6950 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3831
Country : US
Telephone Number : 951-686-8223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ ALAN KWASMAN M.D.” Practice Location

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