Individual
EDWARD JOSEPH KANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9100
(858) 554-6748
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-9100
(858) 554-6748
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
G87558
CA
207ZC0500X
Cytopathology Physician
G87558
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G87558
CA
Other
Enumeration date
01/30/2006
Last updated
03/10/2020
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