Individual
KASEMSANT HANSUVADHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
963 W 7TH ST, OXNARD, CA 93030-6755
(805) 487-9897
(805) 487-6667
Mailing address
2204 INDIAN WELLS CT., OXNARD, CA 93030-6755
(805) 983-6197
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A38775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A387750
—
CA
Enumeration date
09/21/2006
Last updated
07/08/2007
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