Individual
MR. KANE JOHN CUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1148 W 210TH ST, TORRANCE, CA 90502-1626
(310) 977-9692
Mailing address
1148 W 210TH ST, TORRANCE, CA 90502-1626
(310) 977-9692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95000650
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95000650
CA
Other
Enumeration date
09/27/2014
Last updated
05/05/2023
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