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Individual

DR. BRIAN EUGENE KADERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1304 15TH ST STE 102, SANTA MONICA, CA 90404-1810
(310) 393-3583
(310) 394-5215
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A113956
CA
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
A113956
CA
2086X0206X
Surgical Oncology Physician
Primary
A113956
CA

Other

Enumeration date
05/15/2009
Last updated
01/28/2020
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