Individual
KAI DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44151 15TH ST W STE 101, LANCASTER, CA 93534-4079
(661) 902-5600
(661) 951-0686
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A131901
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
A131901
CA
Other
Enumeration date
04/18/2013
Last updated
08/12/2022
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