Individual
ANDREW KASSINOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7301
Mailing address
30925 GANADO DR, RANCHO PALOS, RANCHO PALOS VERDES, CA 90275-6243
(310) 951-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A73936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A739360
—
CA
Enumeration date
06/22/2006
Last updated
10/15/2009
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