Individual
KYLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
A135486
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2013
Last updated
06/13/2018
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