Individual
ALEX Y KAWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8737 BEVERLY BLVD, SUITE # 203, WEST HOLLYWOOD, CA 90048-1828
(323) 525-1111
(323) 525-1100
Mailing address
PO BOX 48107, LOS ANGELES, CA 90048-0107
(323) 525-1118
(818) 303-1306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G68665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G146670
—
CA
01
—
TIN 954712812
SYNERGY
CA
Enumeration date
07/28/2006
Last updated
05/13/2014
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