Individual
DR. MYRON ROSS KANOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W LA VETA AVE, SUITE 775, ORANGE, CA 92868-4306
(714) 954-0270
(714) 954-0272
Mailing address
1010 W LA VETA AVE, SUITE 775, ORANGE, CA 92868-4306
(714) 954-0270
(714) 954-0272
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C40010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C400100
—
CA
01
—
33-0306480
CHAMPUS
—
Enumeration date
04/19/2006
Last updated
01/14/2012
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