Individual
IGOR KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MED PLAZA, 365,420,120, LOS ANGLES, CA 90024
(805) 418-3500
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A132630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IK3232267556
IK3232267556
CA
Enumeration date
04/20/2013
Last updated
08/09/2018
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