Individual
DAVID KAWANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BAYWOOD AVE, SUITE 6, SAN MATEO, CA 94402
(650) 348-8676
(650) 579-4407
Mailing address
1 BAYWOOD AVE, SUITE 6, SAN MATEO, CA 94402
(650) 348-8676
(650) 579-4407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G538070
—
CA
01
—
196971700
DEPT OF LABOR
—
Enumeration date
08/25/2006
Last updated
12/09/2009
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