Individual
DR. KAILASH R DHAMIJA I
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18326 PIONEER BLVD, ARTESIA, CA 90701-5533
(562) 860-5599
Mailing address
18326 PIONEER BLVD, ARTESIA, CA 90701-5533
(562) 860-5599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A422922
—
CA
05
—
0A422920
—
CA
Enumeration date
06/04/2006
Last updated
07/08/2007
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