Individual
DR. JORDAN CHRISTOPHER KAWANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
(310) 829-6889
Mailing address
2663 CENTINELA AVE UNIT 308, SANTA MONICA, CA 90405-3156
(310) 600-9117
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A124884
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
11/22/2022
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