Individual
DR. KEVIN GHASSEMI
Active
Individual
DR. KEVIN GHASSEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92568
CA
207RG0100X
Gastroenterology Physician
Primary
A92568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508062654
CCS PANELED
CA
05
—
1508062654
—
CA
Enumeration date
06/25/2007
Last updated
07/11/2011
Update your record
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