Individual
DR. CLINTON Z KAKAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST, DEPT OF ANESTHESIOLOGY, BOX 10, TORRANCE, CA 90502-2004
(310) 222-3477
(310) 222-5252
Mailing address
1000 W CARSON ST, DEPT OF ANESTHESIOLOGY, BOX 10, TORRANCE, CA 90502-2004
(310) 222-3472
(310) 222-5477
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85510
CA
207L00000X
Anesthesiology Physician
E07448
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566713-01
—
HI
Enumeration date
08/10/2006
Last updated
01/14/2011
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