Individual
PRADEEP J KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9353 IMPERIAL HIGHWAY, DOWNEY, CA 90242-3456
(562) 657-4110
(562) 657-4177
Mailing address
393 E WALNUT ST, GROUP & PROVIDER ENROLLMENT UNIT, PASADENA, CA 91188-6129
(888) 505-0043
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G73865
CA
Other
Enumeration date
09/25/2006
Last updated
12/21/2021
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