Individual
DR. KEVIN K DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2428 SANTA MONICA BLVD, SUITE LL, SANTA MONICA, CA 90404-2045
(310) 315-1000
(310) 829-0348
Mailing address
2428 SANTA MONICA BLVD, SUITE LL, SANTA MONICA, CA 90404-2045
(310) 315-1000
(310) 829-0348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G35245
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G35245
CA
Other
Enumeration date
08/08/2006
Last updated
03/25/2016
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