Individual
KWESI ST. LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
(310) 316-6190
(310) 540-7362
Mailing address
5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
(310) 316-6190
(310) 540-7362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A160826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A160826
MD LICENSE
CA
Enumeration date
06/27/2014
Last updated
07/14/2020
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