Individual
MARC C KANESHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4611
Mailing address
8700 BEVERLY BLDVD, LOS ANGELES, CA 90048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A109630
CA
207RG0100X
Gastroenterology Physician
Primary
109630
CA
Other
Enumeration date
10/09/2008
Last updated
08/11/2015
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