Individual
KENT A. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G58447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G584470
—
CA
01
—
050083641
RAILROAD MEDICARE
—
05
—
GR0081300
—
CA
05
—
GR0081301
—
CA
05
—
GR0081302
—
CA
Enumeration date
07/19/2006
Last updated
07/29/2014
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