Individual
KRISTOPHER PAUL WENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033
(323) 226-7556
(323) 226-2657
Mailing address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A128813
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/10/2012
Last updated
06/07/2018
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