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NPI Code Detail

MEDICARE: MRS. ANNA KALMANOVICH RPA-C

MEDICARE:  MRS. ANNA  KALMANOVICH  RPA-C
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
1363A00000XPhysician Assistant57874CA

General Provider Information

NPI Number : 1831259910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA KALMANOVICH RPA-C
Provider Business Mailing Address
First Line : 1043 ELM AVE STE 104
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1043 ELM AVE STE 104
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3244
Country : US
Telephone Number : 562-590-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 06/20/2020

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Directions to “ MRS. ANNA KALMANOVICH RPA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.