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Individual

FRED KAZUHIRO KURATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 E 3RD ST, STE 603, LOS ANGELES, CA 90013-1645
(213) 680-1551
(213) 680-2148
Mailing address
420 E 3RD ST, STE 603, LOS ANGELES, CA 90013-1645
(213) 680-1551
(213) 680-2148

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G49917
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G499170
CA
05
GR0078580
CA
05
GR0078581
CA
05
GR0078582
CA
05
GR0078583
CA
Enumeration date
11/09/2006
Last updated
10/11/2018
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