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Individual
ALAN T KAWAGUCHI
Active
Individual
ALAN T KAWAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A55621
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A55621
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
A55621
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A55621
CA
207XX0801X
Orthopaedic Trauma Physician
A55621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368640001
DMERC
—
01
—
195690700
USDL
—
01
—
200038615
RR MEDICARE
—
01
—
CGP159090
CGP#
—
05
—
ZZZ71793Z
—
CA
Enumeration date
05/24/2006
Last updated
07/23/2025
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