Individual
DR. IAN DAVID KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46883 MONROE ST STE 200, INDIO, CA 92201-6769
(760) 254-8960
(760) 208-1802
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
191771
CA
207RN0300X
Nephrology Physician
2020027065
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05757933
—
NY
05
—
1205279791
—
CA
Enumeration date
04/15/2013
Last updated
01/11/2024
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