Individual
DR. BRIAN KIMKYONE GAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1669 W AVENUE J, SUITE 304, LANCASTER, CA 93534-2866
(661) 951-7888
(661) 951-8889
Mailing address
1669 W AVENUE J, SUITE 304, LANCASTER, CA 93534-2866
(661) 951-7888
(661) 951-8889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28727
KY
208000000X
Pediatrics Physician
Primary
A49005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A490050
—
CA
05
—
64287279
—
KY
Enumeration date
05/24/2005
Last updated
01/06/2011
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