Individual
DR. KRISTIYANA IVANOVA KANEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 365-4627
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 365-4627
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A142302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A142302
MEDICAL LICENSE NUMBER
CA
Enumeration date
06/14/2013
Last updated
11/06/2016
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