Individual
DR. KENNETH KAUSHANSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
402 DICKINSON ST, MAIL CODE 8811 - SUITE 380, SAN DIEGO, CA 92103-6902
(619) 543-6170
(619) 543-3931
Mailing address
336 PINE NEEDLES DR, DEL MAR, CA 92014-3330
(858) 793-1479
(619) 543-3931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G86586
CA
207RH0003X
Hematology & Oncology Physician
Primary
G86586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G865860
—
CA
Enumeration date
05/04/2006
Last updated
09/11/2025
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