Healthcare Provider Details

I. General information

NPI: 1316965429
Provider Name (Legal Business Name): REBECCA M KUHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7705 SEVILLE AVE STE B
HUNTINGTON PARK CA
90255-6570
US

IV. Provider business mailing address

7705 SEVILLE AVE STE B
HUNTINGTON PARK CA
90255-6570
US

V. Phone/Fax

Practice location:
  • Phone: 323-582-7406
  • Fax: 323-582-1862
Mailing address:
  • Phone: 323-582-7406
  • Fax: 323-582-1862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56357
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA65185
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: