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Individual

DR. KURT F PICKUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3440 LOMITA BLVD, SUITE 442, TORRANCE, CA 90505-4801
(310) 530-5451
Mailing address
3440 WEST LOMITA BOULEVARD, SUITE 442, TORRANCE, CA 90505-4801
(310) 530-5451

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A22160
CA
207ND0900X
Dermatopathology Physician
A22160
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
A22160
CA
207NP0225X
Pediatric Dermatology Physician
A22160
CA

Other

Enumeration date
11/24/2006
Last updated
02/14/2008
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