MEDICARE: KEVIN ALAN NADEL 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
1	207X00000X	Orthopaedic Surgery Physician	A89739	CA

General Provider Information

NPI Number	:	1407822935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN ALAN NADEL M.D.

Provider Business Mailing Address
First Line	:	7301 MEDICAL CENTER DR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-1988
Country	:	US
Telephone Number	:	818-264-3344
Fax Number	:	818-264-3433

Provider Business Practice Location Address
First Line	:	7301 MEDICAL CENTER DR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-1904
Country	:	US
Telephone Number	:	818-264-3344
Fax Number	:	818-264-3433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	06/01/2021

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