Individual
KRISTOPHER J KERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2412
(310) 698-7054
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A109211
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A109211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A109211
MEDICAL LICENSE
CA
Enumeration date
06/19/2013
Last updated
01/27/2016
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