Organization
KENT A. SWANSON, M.D., INC.
Active
Organization
KENT A. SWANSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT A. SWANSON M.D. (PRESIDENT)
(310) 440-3131
Entity
Organization
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G58447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050083641
RAILROAD MEDICARE
CA
05
—
00G584470
—
CA
05
—
GR0081300
—
CA
05
—
GR0081301
—
CA
05
—
GR0081302
—
CA
Enumeration date
07/13/2006
Last updated
07/25/2008
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