Individual
GEOFFREY MICHAEL KANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
(619) 229-3932
Mailing address
6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
(619) 229-3932
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
070.017127
IL
2251X0800X
Orthopedic Physical Therapist
Primary
PT 27407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65116Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
07/07/2005
Last updated
02/14/2013
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