Individual
GEORGE B. KAZANTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 832-6061
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 832-6061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A83412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098240
—
CA
Enumeration date
04/07/2006
Last updated
01/04/2022
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