Individual
JOSEPH SAM KAZANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4077 5TH AVE, MER 127, SAN DIEGO, CA 92103-2105
(619) 484-8573
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(619) 260-7125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90062
CA
208M00000X
Hospitalist Physician
Primary
A90062
CA
Other
Enumeration date
07/13/2006
Last updated
11/20/2019
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