Individual
DR. CASEY KANESHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
2440 S BARRINGTON AVE APT 309, LOS ANGELES, CA 90064-2930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A125739
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2011
Last updated
05/05/2015
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