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Individual

KAIVAN DADACHANJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3500 FIFTH AVE STE 101, SAN DIEGO, CA 92103-5020
(619) 295-3911
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-4174

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
011148
AZ
208000000X
Pediatrics Physician
20A17808
CA

Other

Enumeration date
04/03/2018
Last updated
08/01/2024
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