Individual
KEVIN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01090019A
IN
207P00000X
Emergency Medicine Physician
036165206
IL
207P00000X
Emergency Medicine Physician
4351046524
MI
207P00000X
Emergency Medicine Physician
82180-20
WI
207P00000X
Emergency Medicine Physician
A191433
CA
207P00000X
Emergency Medicine Physician
Primary
MD-52093
IA
207P00000X
Emergency Medicine Physician
MD225001
OR
Other
Enumeration date
04/29/2020
Last updated
04/07/2026
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