Individual
DR. KATHLEEN ALANNA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-2804
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-2804
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
044228
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A108191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
04/29/2008
Last updated
06/25/2014
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