Individual
ALAN KWASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6950 BROCKTON AVE, RIVERSIDE, CA 92506-3831
(951) 686-8223
Mailing address
6950 BROCKTON AVE, RIVERSIDE, CA 92506-3831
(951) 686-8223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A39355
CA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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