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Individual

ALLISON J KEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 UCLA MEDICAL PLAZA, #630, LOS ANGELES, CA 90095-6988
(310) 794-1200
(310) 794-1211
Mailing address
100 UCLA MEDICAL PLAZA, #630, LOS ANGELES, CA 90095-6988
(310) 794-1200
(310) 794-1211

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82982
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A82982
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A829820
CA
Enumeration date
10/10/2006
Last updated
12/03/2009
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